Provider Demographics
NPI:1871652602
Name:LEE DENTAL CARE PLLC
Entity Type:Organization
Organization Name:LEE DENTAL CARE PLLC
Other - Org Name:LEE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHOONG
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-734-3011
Mailing Address - Street 1:3031 ORLEANS ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3541
Mailing Address - Country:US
Mailing Address - Phone:360-734-3011
Mailing Address - Fax:360-734-5620
Practice Address - Street 1:3031 ORLEANS ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3541
Practice Address - Country:US
Practice Address - Phone:360-734-3011
Practice Address - Fax:360-734-5620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA98691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty