Provider Demographics
NPI:1427077007
Name:LEE, HELEN (DDS)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 MORSE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5171
Mailing Address - Country:US
Mailing Address - Phone:805-676-1800
Mailing Address - Fax:805-676-1818
Practice Address - Street 1:1545 MORSE AVE STE A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5171
Practice Address - Country:US
Practice Address - Phone:805-676-1800
Practice Address - Fax:805-676-1818
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice