Grace Lee Dds Ms Pllc | |
3964 State Highway 121 Ste 450 Lewisville TX 75056-5175 | |
(469) 968-0111 | |
(469) 968-0444 |
Full Name | Grace Lee Dds Ms Pllc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3964 State Highway 121 Ste 450, Lewisville, Texas |
Authorized Official Name and Position | Grace Lee (ORTHODONTIST/OWNER) |
Authorized Official Contact | 2678961654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grace Lee Dds Ms Pllc 3964 State Highway 121 Ste 450 Lewisville TX 75056-5175 Ph: (469) 968-0111 | Grace Lee Dds Ms Pllc 3964 State Highway 121 Ste 450 Lewisville TX 75056-5175 Ph: (469) 968-0111 |
NPI Number | 1598561847 |
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Provider Enumeration Date | 02/19/2025 |
Last Update Date | 02/27/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598561847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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