Individual
JOSHUA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 MEDICAL DR, SAN ANTONIO, TX 78229-5389
(213) 863-4805
Mailing address
PO BOX 29568, SAN ANTONIO, TX 78229-0568
(213) 863-4805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27702
TX
122300000X
Dentist
Primary
61178
CA
Other
Enumeration date
02/29/2012
Last updated
06/05/2013
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