# MICHAEL LEE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastside Kids Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780009407
- **Authorized official:** MICHAEL LEE (CONTACT)
- **Authorized official phone:** (425) 968-2840

## Contact information

- **Practice address:** 8630 164TH AVE NE, STE 202, REDMOND, WA 98052-3606
- **Practice address phone:** (425) 968-2840
- **Mailing address:** 8630 164TH AVE NE, SUITE 202, REDMOND, WA 98052-3606
- **Mailing address phone:** (425) 968-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE6021630 | WA | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 11/09/2015