Individual
ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2801 WATERMAN BLVD STE 290, FAIRFIELD, CA 94534-2972
(707) 425-5666
Mailing address
1550 IRON POINT RD APT 623, FOLSOM, CA 95630-7808
(410) 456-6826
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
058005
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2014
Last updated
09/16/2020
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