Provider Demographics
NPI:1801082078
Name:LEE, YEN-PING I (DDS,MS)
Entity type:Individual
Prefix:
First Name:YEN-PING
Middle Name:
Last Name:LEE
Suffix:I
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS,MS
Mailing Address - Street 1:1580 W EL CAMINO REAL
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2458
Mailing Address - Country:US
Mailing Address - Phone:650-928-8858
Mailing Address - Fax:650-938-8857
Practice Address - Street 1:1580 W EL CAMINO REAL
Practice Address - Street 2:SUITE 7
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2458
Practice Address - Country:US
Practice Address - Phone:650-928-8858
Practice Address - Fax:650-938-8857
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist