Organization
BRANDON W LEE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WONSEOK LEE DDS (OWNER)
(623) 842-1075
Entity
Organization
Contact information
Practice address
4444 W NORTHERN AVE, SUITE A3, GLENDALE, AZ 85301
(623) 842-1075
(623) 931-5881
Mailing address
4444 W NORTHERN AVE, SUITE A3, GLENDALE, AZ 85301
(623) 842-1075
(623) 931-5881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135229
AHCCCS
AZ
01
—
197338
UNITED CONCORDIA
—
01
—
533689
AETNA DENTAL INS
—
01
—
AZ0489860
BCBS DENTAL INS
AZ
Enumeration date
01/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us