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Individual

DR. BRIAN DALVIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1291 E HILLSDALE BLVD, SUITE 100, FOSTER CITY, CA 94404-1220
(650) 574-4447
(650) 574-4041
Mailing address
1291 E HILLSDALE BLVD, SUITE 100, FOSTER CITY, CA 94404-1220
(650) 574-4447
(650) 574-4041

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
19108
CA
1223P0221X
Pediatric Dentistry
Primary
19108
CA

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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