# LEE J EDWARDS DDS PLLC

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

## Provider details

- **NPI number:** 1326384314
- **Authorized official:** DR. LEE J EDWARDS DDS (MEMBER)
- **Authorized official phone:** (360) 491-4343

## Contact information

- **Practice address:** 1450 NORTHWEST LN SE, LACEY, WA 98503-6908
- **Practice address phone:** (360) 491-4343
- **Mailing address:** 1450 NORTHWEST LN SE, LACEY, WA 98503-6908
- **Mailing address phone:** (360) 491-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60234008 | WA | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 12/18/2012