Individual
DR. SHAUN M. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 EAST AVE # 5, CHICO, CA 95926-1628
(530) 965-5707
(530) 965-5723
Mailing address
1430 EAST AVE # 5, CHICO, CA 95926-1628
(530) 433-9744
(530) 965-5723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD3544
NM
122300000X
Dentist
DDS60610
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
08/17/2011
Last updated
11/17/2020
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