Provider Demographics
NPI:1831520709
Name:LEE, HUI-YUN (DDS)
Entity type:Individual
Prefix:MS
First Name:HUI-YUN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HUI-YUN
Other - Middle Name:CANDICE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:101 E. LINCOLN AVE. #105
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-3203
Mailing Address - Country:US
Mailing Address - Phone:714-774-7761
Mailing Address - Fax:714-774-7762
Practice Address - Street 1:101 E. LINCOLN AVE. #105
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-3203
Practice Address - Country:US
Practice Address - Phone:714-774-7761
Practice Address - Fax:714-774-7762
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice