Organization
STACEY A LEE, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY A LEE DDS, MS (PRESIDENT)
(415) 350-4489
Entity
Organization
Contact information
Practice address
348 TARAVAL ST, SAN FRANCISCO, CA 94116-1953
(415) 564-6800
Mailing address
348 TARAVAL ST, SAN FRANCISCO, CA 94116-1953
(415) 350-4489
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/01/2020
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