Individual
BRENDAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
816 2ND ST, LOS BANOS, CA 93635-4124
(209) 812-0041
Mailing address
816 2ND ST, LOS BANOS, CA 93635-4124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS111889
CA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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