| Doctor Name: | HEA CHAN LEE |
| NPI Number: | 1760611958 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.D. |
| License Number: | DTD010126667 |
| Business Practice Address: | 4055 Sw 185th Ave 220 Aloha, OR - 97007 |
| Business Phone Number: | 5037464770 |
| Business Fax Number: | 5037464915 |
| Mailing Address: | 4055 Sw 185th Ave, 220 ALOHA |
| State: | OR |
| Postal Code: | 970071567 |
| Phone Number: | 5037464770 |
| Fax Number: | 5037464915 |
| NPI Enumeration Date: | 07/08/2009 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DTD010126667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |