Individual
CODY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11334 SSG SIMS ST, FORT BLISS, TX 79908
(915) 742-6072
Mailing address
1776 CIMARRON SQ APT 123, EL PASO, TX 79911-2202
(602) 531-9053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14084798-9926
TX
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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