Individual
VIVIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 MISSION ST, SAN FRANCISCO, CA 94110-3102
(415) 285-9847
Mailing address
100 VAN NESS AVE, SAN FRANCISCO, CA 94102-5209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
112477
CA
Other
Enumeration date
06/08/2021
Last updated
11/17/2025
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