# FORT BLISS FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588310015
- **Authorized official:** DR. MINYOUNG LEE DDS (MANAGER)
- **Authorized official phone:** (915) 895-3678

## Contact information

- **Practice address:** 1617 PLEASONTON RD., SUITE G129, FORT BLISS, TX 79906
- **Practice address phone:** (915) 895-3678
- **Mailing address:** PO BOX 16084, EL PASO, TX 79906-1084
- **Mailing address phone:** (915) 895-3678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 06/28/2025