Individual
DR. ALLEN T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
406 N SAN MATEO DR # B, SAN MATEO, CA 94401-2418
(650) 342-8874
(650) 458-6391
Mailing address
406 N SAN MATEO DR # B, SAN MATEO, CA 94401-2418
(650) 342-8874
(650) 458-6391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51964
DENTAL LICENSE
CA
Enumeration date
09/05/2006
Last updated
07/08/2007
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