Individual
STACEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
348 TARAVAL ST, SAN FRANCISCO, CA 94116
(415) 564-6800
Mailing address
348 TARAVAL ST, SAN FRANCISCO, CA 94116-1953
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
64745
CA
Other
Enumeration date
08/26/2015
Last updated
10/29/2018
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