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NPI Code Detail

MEDICARE: DR. ROBERT E LEE III DDS

MEDICARE:  DR. ROBERT E LEE III DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8976TX

General Provider Information

NPI Number : 1497758783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT E LEE III DDS
Provider Business Mailing Address
First Line : 106 PROFESSIONAL PARK DR
Second Line :
City : VICTORIA
State : TX
Zip : 77904-2351
Country : US
Telephone Number : 361-578-2785
Fax Number : 361-573-1653
Provider Business Practice Location Address
First Line : 106 PROFESSIONAL PARK DR
Second Line :
City : VICTORIA
State : TX
Zip : 77904-2351
Country : US
Telephone Number : 361-578-2785
Fax Number : 361-573-1653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT E LEE III DDS” Practice Location

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