Healthcare Provider Details

I. General information

NPI: 1760327399
Provider Name (Legal Business Name): PATRICK C LEE DDS MS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1943 W MALVERN AVE
FULLERTON CA
92833-2177
US

IV. Provider business mailing address

1943 W MALVERN AVE
FULLERTON CA
92833-2177
US

V. Phone/Fax

Practice location:
  • Phone: 714-992-6288
  • Fax:
Mailing address:
  • Phone: 714-992-6288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK LEE
Title or Position: PRESIDENT
Credential: DDS MS
Phone: 714-992-6288