Individual
DR. JAEBUM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, PHD
Contact information
Practice address
897 N MACARTHUR BLVD STE 100, COPPELL, TX 75019-2706
(972) 315-2345
Mailing address
897 N MACARTHUR BLVD STE 100, COPPELL, TX 75019-2706
(972) 315-2345
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29604
TX
Other
Enumeration date
09/08/2010
Last updated
03/30/2023
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