Individual
PE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2740 HERNDON AVE, CLOVIS, CA 93611-6813
(559) 299-2608
Mailing address
6685 E AMHERST AVE, FRESNO, CA 93727-1434
(559) 260-1722
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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