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Organization

FORT BLISS FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MINYOUNG LEE DDS (MANAGER)
(915) 895-3678
Entity
Organization

Contact information

Practice address
1617 PLEASONTON RD., SUITE G129, FORT BLISS, TX 79906
(915) 895-3678
Mailing address
PO BOX 16084, EL PASO, TX 79906-1084
(915) 895-3678

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/23/2022
Last updated
06/28/2025
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