Provider Demographics
NPI:1588746317
Name:LEE, ARTHUR YAN WOOD (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:YAN WOOD
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARTHUR
Other - Middle Name:Y W
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1801 W ROMNEYA DR
Mailing Address - Street 2:SUITE 602
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:714-563-9604
Mailing Address - Fax:
Practice Address - Street 1:1801 W ROMNEYA DR
Practice Address - Street 2:SUITE 602
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-563-9604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist