| Vaughn A. Lee Dds Inc. | |
|
373 Ninth St. Suite 401 Oakland CA 94607-6516 | |
| (510) 834-4640 | |
| (510) 834-8328 |
| Full Name | Vaughn A. Lee Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 373 Ninth St., Oakland, California |
| Authorized Official Name and Position | Vaughn Anthony Lee (PRESIDENT) |
| Authorized Official Contact | 5108344640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaughn A. Lee Dds Inc. 373 Ninth St. Suite 401 Oakland CA 94607-6516 Ph: (510) 834-4640 | Vaughn A. Lee Dds Inc. 373 Ninth St. Suite 401 Oakland CA 94607-6516 Ph: (510) 834-4640 |
| NPI Number | 1104161074 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104161074 | NPI | - | NPPES |
| B24471-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24471 (California) | Primary |
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