| Dustin Lee, Dds, Inc | |
|
750 Kains Ave San Bruno CA 94066-3432 | |
| (650) 588-4255 | |
| Not Available |
| Full Name | Dustin Lee, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 750 Kains Ave, San Bruno, California |
| Authorized Official Name and Position | Dustin Lee (OWNER PRESIDENT) |
| Authorized Official Contact | 6505884255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Lee, Dds, Inc 750 Kains Ave San Bruno CA 94066-3432 Ph: (650) 588-4255 | Dustin Lee, Dds, Inc 750 Kains Ave San Bruno CA 94066-3432 Ph: (650) 588-4255 |
| NPI Number | 1437687571 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437687571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61807 (California) | Primary |
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