| Organization Name: | LEE DENTAL |
| NPI Number: | 1043611809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLYDE R LEE (OWNER) |
| Mailing Address: | 6351 Preston Rd #300 Frisco |
| State: | TX US |
| Postal Code: | 750346320 |
| Phone Number: | 9727129000 |
| Fax Number: | 9727121941 |
| NPI Enumeration Date: | 09/11/2014 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 18959 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |