Individual
DR. AUSTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17201 SAN PEDRO AVE # 130, SAN ANTONIO, TX 78232-1403
(210) 496-1919
Mailing address
1510 FAWN HVN, SAN ANTONIO, TX 78248-1738
(978) 809-9960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36347
TX
1223G0001X
General Practice Dentistry
DN1857183
MA
Other
Enumeration date
07/13/2015
Last updated
12/19/2021
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