Provider Demographics
NPI:1760871032
Name:APRIL LEE DDS, MS, INC.
Entity Type:Organization
Organization Name:APRIL LEE DDS, MS, INC.
Other - Org Name:BURLINGAME SMILE STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:650-231-2680
Mailing Address - Street 1:1740 MARCO POLO WAY
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4522
Mailing Address - Country:US
Mailing Address - Phone:650-231-2680
Mailing Address - Fax:650-240-3878
Practice Address - Street 1:1740 MARCO POLO WAY
Practice Address - Street 2:SUITE 12
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4522
Practice Address - Country:US
Practice Address - Phone:650-231-2680
Practice Address - Fax:650-240-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA540081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty