Provider Demographics
NPI:1952376220
Name:LEE, ROBIN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:D
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 1:1471 N. JONES BLVD
Mailing Address - Street 2:TODAY'S DENTAL AND ORAL SURGERY
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108
Mailing Address - Country:US
Mailing Address - Phone:702-851-6722
Mailing Address - Fax:702-636-0678
Practice Address - Street 1:1471 N JONES BLVD
Practice Address - Street 2:TODAY'S DENTAL AND ORAL SURGERY
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-1610
Practice Address - Country:US
Practice Address - Phone:702-851-6722
Practice Address - Fax:702-636-0678
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice