Provider Demographics
NPI:1801003918
Name:LEE H SARTY INC
Entity Type:Organization
Organization Name:LEE H SARTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-798-1951
Mailing Address - Street 1:2975 TREAT BLVD STE B3
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3687
Mailing Address - Country:US
Mailing Address - Phone:925-798-1951
Mailing Address - Fax:
Practice Address - Street 1:2975 TREAT BLVD STE B3
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3687
Practice Address - Country:US
Practice Address - Phone:925-798-1951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA214051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty