Healthcare Provider Details
I. General information
NPI: 1083521363
Provider Name (Legal Business Name): LINDA H LEE DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 P ST
SANGER CA
93657-2823
US
IV. Provider business mailing address
625 P ST
SANGER CA
93657-2823
US
V. Phone/Fax
- Phone: 559-875-8268
- Fax: 559-875-9347
- Phone: 559-875-8268
- Fax: 559-875-9347
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
LEE
Title or Position: OWNER
Credential: DDS
Phone: 310-741-1662