Provider Demographics
NPI:1982166161
Name:ALBERT S. LEE, D.D.S., INC
Entity Type:Organization
Organization Name:ALBERT S. LEE, D.D.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-393-9968
Mailing Address - Street 1:1355 FLORIN RD STE 15
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4200
Mailing Address - Country:US
Mailing Address - Phone:916-393-9968
Mailing Address - Fax:916-393-9638
Practice Address - Street 1:1355 FLORIN RD STE 15
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4200
Practice Address - Country:US
Practice Address - Phone:916-393-9968
Practice Address - Fax:916-393-9638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty