Jinyong Jacob Lee
NPI #1952092520 in Fort Cavazos, Texas
Provider Information
- NPI Number
- 1952092520
- Entity Type
- Individual
- Name
- Jinyong Jacob Lee
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2023
- Last Updated
- Jul 22, 2024
Practice Location
- Address
- 36000 SHOEMAKER LANE, SUITE 1051
- City
- Fort Cavazos
- State
- Texas
- ZIP Code
- 76544
- Phone
- (254) 287-2705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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