Organization
KITSAP DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS LEE DDS (DENTIST)
(360) 779-2420
Entity
Organization
Contact information
Practice address
20730 BOND RD NE STE 100, POULSBO, WA 98370-9000
(360) 779-2420
(360) 779-6219
Mailing address
20730 BOND RD NE STE 100, POULSBO, WA 98370-9000
(360) 779-2420
(360) 779-6219
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60080602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60080602
LICENSE NUMBER
WA
Enumeration date
01/31/2018
Last updated
01/31/2018
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