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Individual

JASON LY-LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
36000 SHOEMAKER LANE, US DENTAL HEALTH ACTIVITY FT HOOD. SUITE 1051, FORT HOOD, TX 76544
(254) 287-3105
Mailing address
701 E CENTRAL TEXAS EXPY APT 305, HARKER HEIGHTS, TX 76548-1363
(858) 598-7569

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
112017
CA
122300000X
Dentist
Primary
42136
TX
1223G0001X
General Practice Dentistry
112017
CA

Other

Enumeration date
07/28/2025
Last updated
12/22/2025
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