Individual
DR. JOHN JONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6500 DENTON HWY STE B1, WATAUGA, TX 76148-2526
(817) 428-4005
(817) 428-4058
Mailing address
6500 DENTON HWY STE B1, WATAUGA, TX 76148-2526
(817) 428-4005
(254) 559-8141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27195
TX
1223G0001X
General Practice Dentistry
45485
CA
Other
Enumeration date
05/10/2007
Last updated
07/06/2022
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