Individual
ANITA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10423 OLD PLACERVILLE RD STE A, SACRAMENTO, CA 95827-2540
(916) 569-8620
Mailing address
4012 BRANIGAN LAKE WAY, RANCHO CORDOVA, CA 95742-7774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61854
CA
122300000X
Dentist
6983
NV
Other
Enumeration date
09/18/2012
Last updated
04/26/2019
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