Individual
DANIEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1401 E 8TH ST, ODESSA, TX 79761-4802
(432) 332-8550
Mailing address
2050 E ALGONQUIN RD, STE 610, SCHAUMBURG, IL 60173-4144
(847) 701-1454
(847) 496-7603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29905
TX
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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