Individual
BRENDA LIZETTE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
825 TRI CITY CTR, REDLANDS, CA 92374-2859
(909) 260-2161
Mailing address
8240 COUNTRY MILE LN, RIVERSIDE, CA 92507-0030
(909) 260-2161
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
1040
CA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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