Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 37574 | CA |
NPI | 1003975814 |
---|---|
Provider Name | Dr. Debbie Roslyn Lee |
First Address | Placentia, CA 92870-3407 |
Second Address | Placentia, CA 92870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 10/04/2009 |