Individual
JARED DAVID LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10003 NW MILITARY HWY STE 3201, SAN ANTONIO, TX 78231-1892
(210) 417-4181
Mailing address
10003 NW MILITARY HWY STE 3201, SAN ANTONIO, TX 78231-1892
(210) 417-4181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27301
TX
Other
Enumeration date
12/05/2011
Last updated
08/06/2019
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