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General NPI Number Information
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NPI Number | 1154810604
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Entity Type | Organization
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Legal Business Name | ZACHARY R. LEE, DDS LLC
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 803
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-536-2196
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Fax | 808-536-8080
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Provider Business Mailing Address
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Address Line | 321 N KUAKINI ST STE 803
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-536-2196
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ZACHARY R LEE
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Credential | DDS
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Telephone | 808-386-8348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2727
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License Number State | HI
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