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1700516705
MIKE MOOYUL LEEM
FORT WORTH, TX
NPI
1700516705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 38532)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Dr. MIKE MOOYUL LEEM DDS
6000 CAMP BOWIE BLVD
FORT WORTH, TX 76116-5606
Phone number: 817-585-2492
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Mailing Address
Dr. MIKE MOOYUL LEEM DDS
6500 LIPIZZAN DR
DENTON, TX 76210-0547
Phone number: 469-212-3017
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