Most Relevant Information
Provider Data
| NPI Number: | 1003315458 |
| Provider Name: | CASEY PAUL LEE DDS (CANDIDATE 2018) |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2018 |
| Last Updated: | 02/12/2018 |
Provider Practice Location
5323 HARRY HINES BLVD.
DALLAS
TX
753907201
Practice Location Phone/Fax
| Phone: | 2146453979 |
| Fax: |
Provider Mailing Location
5323 HARRY HINES BLVD
DALLAS
TX
753907201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |