| NPI | 1841349495 |
|---|---|
| Other Name | BRIAN LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 101417) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA 21722) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-06-20 |