Individual
DANIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
6243 RETAIL RD STE 100, DALLAS, TX 75231-7845
(214) 368-3384
Mailing address
924 MILWAUKEE AVE APT 2406, LUBBOCK, TX 79416-5987
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32119
TX
Other
Enumeration date
09/29/2016
Last updated
05/15/2023
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