Individual
DR. ALAN S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 N MAIN ST, MANTECA, CA 95336-3782
(209) 239-2990
Mailing address
715 N MAIN ST, MANTECA, CA 95336-3782
(209) 239-2990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43187
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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