# LEE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1619336518
- **Authorized official:** SUSANA LEE (DENTIST)
- **Authorized official phone:** (267) 979-0422

## Contact information

- **Practice address:** 416 NE 87TH AVE, SUITE 3, VANCOUVER, WA 98664-1930
- **Practice address phone:** (360) 891-3020
- **Mailing address:** 416 NE 87TH AVE, SUITE 3, VANCOUVER, WA 98664-1930

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 02/19/2016