Provider Demographics
NPI:1427173004
Name:LEE, STEVE J (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:J
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 N FRESNO ST
Mailing Address - Street 2:STE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2482
Mailing Address - Country:US
Mailing Address - Phone:559-435-3344
Mailing Address - Fax:559-435-6658
Practice Address - Street 1:7606 N FRESNO ST
Practice Address - Street 2:STE 105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2482
Practice Address - Country:US
Practice Address - Phone:559-435-3344
Practice Address - Fax:559-435-6658
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist