Lee, Tim
Lee, Tim is an sole proprietor health care provider with primary practice located at 9450 Fairway Dr , Roseville CA 95678-3588. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Lee, Tim can be contacted via phone (504) 202-7789.Contact Information
Primary practice address
9450 Fairway Dr
Roseville CA 95678-3588
Phone: (504) 202-7789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS63953 | California |
Profile Details
| NPI number | 1336461284 |
|---|---|
| LBN Legal business name | Lee, Tim |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2010 |
| Last updated | Nov 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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