Provider Demographics
NPI:1295940591
Name:MAHLMANN, LEE ALLLEN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:ALLLEN
Last Name:MAHLMANN
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:1310 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4245
Mailing Address - Country:US
Mailing Address - Phone:281-342-6311
Mailing Address - Fax:281-232-2359
Practice Address - Street 1:1310 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-4245
Practice Address - Country:US
Practice Address - Phone:281-342-6311
Practice Address - Fax:281-232-2359
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics