Organization
MICHAEL LEE DDS PLLC
Active
Other names
Eastside Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE (CONTACT)
(425) 968-2840
Entity
Organization
Contact information
Practice address
8630 164TH AVE NE, STE 202, REDMOND, WA 98052-3606
(425) 968-2840
Mailing address
8630 164TH AVE NE, SUITE 202, REDMOND, WA 98052-3606
(425) 968-2840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE6021630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024262
—
WA
Enumeration date
03/04/2014
Last updated
11/09/2015
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