Provider Demographics
NPI:1821029521
Name:LEE, WILLIAM WAI-LEUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WAI-LEUNG
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 1:120 HOWARD ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-1633
Mailing Address - Country:US
Mailing Address - Phone:415-371-1300
Mailing Address - Fax:415-243-9990
Practice Address - Street 1:120 HOWARD ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1633
Practice Address - Country:US
Practice Address - Phone:415-371-1300
Practice Address - Fax:415-243-9990
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46862122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist