# WYATT T. LEE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154302495
- **Authorized official:** DR. WYATT T LEE DDS (PRESIDENT)
- **Authorized official phone:** (206) 328-2280

## Contact information

- **Practice address:** 901 BOREN AVE, STE. \#650, SEATTLE, WA 98104-3522
- **Practice address phone:** (206) 328-2280
- **Practice address fax:** (206) 328-2494
- **Mailing address:** 901 BOREN AVE, STE. \#650, SEATTLE, WA 98104-3522
- **Mailing address phone:** (206) 328-2280
- **Mailing address fax:** (206) 328-2494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00004764 | WA | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 08/28/2020