NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TINA M PARK LEE, DDS
26554 AMHERST CT
LOMA LINDA, CA92354-6732
 Phone: 909-769-8077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TINA M PARK LEE · (Female)

NPI # 1003037813
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/01/2007
Last updated 09/12/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 40976
  • CA Other C3701431 DRIVER LISCENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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