Provider Demographics
NPI:1194820720
Name:LEE, THOMAS CHEE-HO (DDS MS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:CHEE-HO
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS MS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:228 LOMBARD ST STE A
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-8200
Mailing Address - Country:US
Mailing Address - Phone:805-585-3184
Mailing Address - Fax:805-496-1185
Practice Address - Street 1:228 LOMBARD ST STE A
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8200
Practice Address - Country:US
Practice Address - Phone:805-585-3184
Practice Address - Fax:805-496-1185
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468581223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics