Provider Demographics
NPI:1811107568
Name:LEE, PAUL Y (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:Y
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10251 TORRE AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2184
Mailing Address - Country:US
Mailing Address - Phone:408-996-1204
Mailing Address - Fax:408-873-1366
Practice Address - Street 1:10251 TORRE AVE STE 118
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2184
Practice Address - Country:US
Practice Address - Phone:408-996-1204
Practice Address - Fax:408-873-1366
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics