Individual
LAUREN-NIKKO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4701 183A TOLL RD, SUITE C, CEDAR PARK, TX 78613-7227
(512) 593-7998
(512) 717-3396
Mailing address
4701 183A TOLL RD, SUITE C, CEDAR PARK, TX 78613-7227
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27888
TX
Other
Enumeration date
07/16/2012
Last updated
06/27/2016
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