Individual
DR. JOHN S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
600 S DENTON TAP RD STE 200, COPPELL, TX 75019-4539
(972) 471-0647
Mailing address
600 S DENTON TAP RD STE 200, COPPELL, TX 75019-4539
(972) 471-0647
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23777
TX
1223G0001X
General Practice Dentistry
22DI02264400
NJ
1223G0001X
General Practice Dentistry
2901019436
MI
1223G0001X
General Practice Dentistry
DS035851
PA
Other
Enumeration date
09/14/2005
Last updated
05/04/2009
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