Provider Demographics
NPI:1326258112
Name:LEE, PATRICK WAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:WAH
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 ALTON PKWY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-5024
Mailing Address - Country:US
Mailing Address - Phone:949-833-7888
Mailing Address - Fax:949-833-7887
Practice Address - Street 1:2500 ALTON PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-5024
Practice Address - Country:US
Practice Address - Phone:949-833-7888
Practice Address - Fax:949-833-7887
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460941223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist