Individual
DR. MICHAEL J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
14535 S BASCOM AVE, LOS GATOS, CA 95032-2003
(408) 402-0100
(408) 402-0111
Mailing address
14535 S BASCOM AVE, LOS GATOS, CA 95032-2003
(408) 402-0100
(408) 402-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
54510
CA
1223P0700X
Prosthodontics
Primary
54510
CA
Other
Enumeration date
01/23/2006
Last updated
12/11/2009
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