Individual
MIRA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7114 SAUR LEGACY DR, BOERNE, TX 78015-2117
(224) 381-8749
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31828
CA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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