Individual
RAYMOND LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9415 A ST, TACOMA, WA 98444-6215
(714) 833-4803
Mailing address
2070 HETEBRINK ST, FULLERTON, CA 92833-5043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
064460-01
NY
122300000X
Dentist
103855
CA
122300000X
Dentist
Primary
22DI03074800
NJ
122300000X
Dentist
DE6114918
WA
Other
Enumeration date
07/22/2019
Last updated
03/21/2025
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