Individual
DA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6401 HILLCREST AVE STE 200, DALLAS, TX 75205-1852
(469) 455-1355
Mailing address
6401 HILLCREST AVE STE 200, DALLAS, TX 75205-1852
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
33970
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN00202104
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3981433
—
TX
Enumeration date
09/30/2013
Last updated
01/29/2020
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