Individual
DANIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
824 HEWITT DR STE 300, WACO, TX 76712-6604
(254) 207-0786
Mailing address
201 RITCHIE RD APT 824, HEWITT, TX 76643-4318
(907) 727-2859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35114
TX
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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