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General NPI Number Information
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NPI Number | 1780511576
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Entity Type | Individual
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Provider Name | YOUNGMIN LEE DMD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 11841 ALAMO RNCH STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78253-4185
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Country | US
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Telephone | 210-495-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 SARDINIA WAY
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City | FRISCO
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State | TX
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Zip | 75034-6655
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Country | US
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Telephone | 210-495-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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