Provider Demographics
NPI:1700495991
Name:LEE, CHIEN-HUA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIEN-HUA
Middle Name:
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 1:3128 EAGLE BLVD APT H260
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-7431
Mailing Address - Country:US
Mailing Address - Phone:402-547-6231
Mailing Address - Fax:
Practice Address - Street 1:5127 E BRIDGE ST STE A
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-8318
Practice Address - Country:US
Practice Address - Phone:720-477-3407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COT-DEN.00000053122300000X
CODEN.00204457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist