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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 41272