Provider Demographics
NPI:1134310261
Name:LEE, ESTHER K (DMD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:K
Last Name:LEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:K
Other - Last Name:IJO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1021 S WOLFE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-8806
Mailing Address - Country:US
Mailing Address - Phone:408-475-4079
Mailing Address - Fax:
Practice Address - Street 1:1021 S WOLFE RD STE 105
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-8806
Practice Address - Country:US
Practice Address - Phone:408-475-4079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice