Provider Demographics
NPI:1669663837
Name:WILLIAM W. LEE, DDS, PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM W. LEE, DDS, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-371-1300
Mailing Address - Street 1:114 SANSOME ST STE 715
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3807
Mailing Address - Country:US
Mailing Address - Phone:415-371-1300
Mailing Address - Fax:415-288-8611
Practice Address - Street 1:114 SANSOME ST STE 715
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3807
Practice Address - Country:US
Practice Address - Phone:415-371-1300
Practice Address - Fax:415-288-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty