Individual
DR. JONATHAN Y LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4431 68TH STREET, HQS, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Mailing address
4431 68TH STREET, HQS, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24939
TX
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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