Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3964 STATE HIGHWAY 121 STE 450, LEWISVILLE, TX 75056-5175
(469) 968-0111
(469) 968-0444
Mailing address
3964 STATE HIGHWAY 121 STE 450, LEWISVILLE, TX 75056-5175
(469) 968-0111
(469) 968-0444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38968
TX
Other
Enumeration date
08/22/2022
Last updated
03/11/2025
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