Provider Demographics
NPI:1891250429
Name:DANIEL LEE, DDS, AND CHRISTINA LEE, DDS, MS, PLLC
Entity Type:Organization
Organization Name:DANIEL LEE, DDS, AND CHRISTINA LEE, DDS, MS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:917-868-7381
Mailing Address - Street 1:820 BLANCHARD ST UNIT 1406
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2911 2ND AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3065
Practice Address - Country:US
Practice Address - Phone:917-868-7381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty