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Dr. Timothy Dae Lee, DDS
Pediatric Dentist in Wichita Falls, Texas
NPI 1982638359

Timothy Dae Lee is a Pediatric Dentist based in Wichita Falls, TX and is specialized in Pediatric Dentistry. Timothy Dae Lee practices in Wichita Falls, TX and has the professional credentials of DDS. The NPI Number for Timothy Dae Lee is 1982638359 and holds a License No. 22042 (Texas).

The current practice location address for Timothy Dae Lee is 4021 Rhea Rd, Wichita Falls, TX and can be reached out via phone at 214-923-0648 and via fax at 940-613-0213. You can also correspond with Timothy Dae Lee through the mailing address at 4021 RHEA RD, WICHITA FALLS, TX - 76308-2727 (mailing address contact number: 214-923-0648).

Location: 4021 Rhea Rd, Wichita Falls, TX, 76308-2727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982638359
Provider Name
Timothy Dae Lee
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4021 Rhea Rd, Wichita Falls, TX, 76308-2727
Phone Number
214-923-0648
Fax Number
940-613-0213
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200131900 A 05 OK
5441000 05 TN
1701203-10 05 TX
institution
Provider Business Practice Location Address Details
Address
4021 Rhea Rd
City
Wichita Falls
State
Texas
Zip
76308-2727
Phone Number
214-923-0648
Fax Number
940-613-0213
person
Provider Business Mailing Address Details
Address
4021 Rhea Rd
City
Wichita Falls
State
Texas
Zip
76308-2727
Phone Number
214-923-0648
Fax Number
940-613-0213
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22042 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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