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Provider Information for 1336214725



DR. PETER K LEE DDS

Gender: MALE

Individual NPI: 1336214725

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1336214725
Enumeration Date 2006-11-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1688 WILLOW ST SUITE A1
SAN JOSE, CA 95125
United States

Phone: 408-978-6601 | Fax: 408-266-7392
View Map External Link
Primary Practice Address 1688 WILLOW ST SUITE A1
SAN JOSE, CA 95125
United States

Phone: 408-978-6601 | Fax: 408-266-7392
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 41272
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location