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Organization
LEE DENTAL CENTERS
Active
Organization
LEE DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOREEN CARTER (OFFICE MANAGER)
(210) 681-5555
Entity
Organization
Contact information
Practice address
6336 BANDERA RD, SAN ANTONIO, TX 78238-1604
(210) 681-5555
(210) 681-7121
Mailing address
6336 BANDERA RD, SAN ANTONIO, TX 78238-1604
(210) 681-5555
(210) 681-7121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009627301
—
TX
05
—
009629901
—
TX
05
—
009630701
—
TX
05
—
009631501
—
TX
05
—
009632301
—
TX
Enumeration date
03/20/2007
Last updated
11/06/2007
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