| Dr Bruce H Lee, DDS | |
|
181 S Gulling St, Portola, CA 96122-9609 | |
| (530) 832-4461 | |
| Not Available |
| Full Name | Dr Bruce H Lee |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 181 S Gulling St, Portola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568563807 | NPI | - | NPPES |
| 25274 | Other | CA | LINCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25274 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce H Lee, DDS 181 S Gulling St, Portola, CA 96122-9609 Ph: (530) 832-4461 | Dr Bruce H Lee, DDS 181 S Gulling St, Portola, CA 96122-9609 Ph: (530) 832-4461 |
Derry L. Hildebrand Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 296 W Sierra Ave., Ste 1, Portola, CA 96122 Phone: 530-832-0200 Fax: 530-832-0900 | |
Dr. Mario G. Garibotti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 145 N Pine St, Portola, CA 96122 Phone: 530-832-4425 Fax: 530-832-1058 |