Provider Demographics
NPI:1497098198
Name:LEE, ANDREW HUEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HUEN
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 138TH ST S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4724
Mailing Address - Country:US
Mailing Address - Phone:206-235-7700
Mailing Address - Fax:
Practice Address - Street 1:320 138TH ST S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4724
Practice Address - Country:US
Practice Address - Phone:253-531-4074
Practice Address - Fax:253-531-7373
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61552122300000X
WADE 60289788122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist