Individual
DR. DONG KEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
U.S. ARMY DENTAL HEALTH ACTIVITY 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-3105
Mailing address
1730 DRYDEN AVE, COPPERAS COVE, TX 76522-1245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
39780
TX
122300000X
Dentist
Primary
DE61618296
WA
1223G0001X
General Practice Dentistry
39780
TX
1223G0001X
General Practice Dentistry
DE61618296
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2023
Last updated
06/12/2025
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