Healthcare Provider Details

I. General information

NPI: 1518878321
Provider Name (Legal Business Name): CHRISTOPHER LEE, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 E ROSEVILLE PKWY STE 210
ROSEVILLE CA
95661-3081
US

IV. Provider business mailing address

9960 LOS LAGOS CIR N
GRANITE BAY CA
95746-5830
US

V. Phone/Fax

Practice location:
  • Phone: 310-997-0696
  • Fax:
Mailing address:
  • Phone: 310-997-0696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER LEE
Title or Position: PRESIDENT
Credential: DDS
Phone: 310-997-0696