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NPI 1164501417

NPI 1164501417 : DANNY LEE DDS : ATWATER, CA

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General NPI Number Information
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    NPI Number           |    1164501417
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    Entity Type          |    Individual 
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    Provider Name        |    DANNY LEE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3605 HOSPITAL ROAD SUITE H
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    City                 |    ATWATER
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    State                |    CA
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    Zip                  |    95301-5173
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    Country              |    US
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    Telephone            |    209-381-2047
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    Fax                  |    209-381-2045
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2036 
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    City                 |    DANVILLE
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    State                |    CA
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    Zip                  |    94526-7036
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    Country              |    US
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    Telephone            |    925-915-0606
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    D46093
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    GA1175
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    License Number State |    CA
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