Chang Hyun Lee, DMD
Dentist, General Practice in Pilot Point, TX. Individual provider (NPI-1).
NPI number1164051264
StatusActive
Last updated in NPPESJan 25, 2025
Details
- NPI
- 1164051264
- Entity type
- Individual (NPI-1)
- Name
- Chang Hyun Lee
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2020
- Certification date
- Jan 3, 2025
- Last updated
- Jan 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 38327 | TX | Yes |
| 1223G0001X | Dentist, General Practice | 107400 | CA |
Practice location
1246 S Highway 377 Ste 500Pilot Point, TX 76258-4378
Phone 940-686-2201
Mailing address
303 S Glenoaks BlvdBurbank, CA 91502-1319
Phone 818-846-2854
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