Provider Demographics
NPI:1376726513
Name:DANIEL TEE PLLC
Entity Type:Organization
Organization Name:DANIEL TEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-820-6131
Mailing Address - Street 1:6000 S MCCLINTOCK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3266
Mailing Address - Country:US
Mailing Address - Phone:480-820-6131
Mailing Address - Fax:
Practice Address - Street 1:6000 S MCCLINTOCK DR
Practice Address - Street 2:SUITE B
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3266
Practice Address - Country:US
Practice Address - Phone:480-820-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD70351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty