Individual
GENE S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
325 ADAMS DR., SUITE 335, WEATHERFORD, TX 76086
(817) 594-5888
(817) 594-6266
Mailing address
609 CABRAL CIRCLE, #4207, FORT WORTH, TX 76102
(510) 847-0161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27442
TX
1223G0001X
General Practice Dentistry
DT-2401
HI
Other
Enumeration date
05/11/2010
Last updated
10/14/2011
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