Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8455 CRESTWAY RD, CONVERSE, TX 78109-3527
(210) 202-3277
Mailing address
5858 SPRING CROWN, SAN ANTONIO, TX 78247-5411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37560
TX
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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