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Organization
LEE CHUNG DDS PA
Active
Organization
LEE CHUNG DDS PA
Active
Other names
Dental Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE CHUNG DDS (OWNER/DENTIST)
(281) 384-9183
Entity
Organization
Contact information
Practice address
7431 NW LOOP 410 STE 105, SAN ANTONIO, TX 78245-3597
(210) 680-0553
(210) 680-0593
Mailing address
7431 NW LOOP 410 STE 105, SAN ANTONIO, TX 78245-3597
(210) 680-0553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331400702
—
TX
Enumeration date
10/16/2023
Last updated
10/20/2023
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