Individual
JORDAN YEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
USA DENTAC FORT CAVAZOS 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
(254) 287-2705
Mailing address
USA DENTAC FORT CAVAZOS 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11289
OR
1223G0001X
General Practice Dentistry
D11289
OR
Other
Enumeration date
08/12/2020
Last updated
04/17/2024
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