| NPI | 1942018189 |
|---|---|
| Former Legal Business Name | DR RONALD LEE DDS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOO Owner 415-566-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |