Individual
DR. JACOB J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1006 PROFESSIONAL BLVD, SUITE B, DALTON, GA 30720-2505
(706) 226-2228
(706) 226-1881
Mailing address
1006 PROFESSIONAL BLVD, SUITE B, DALTON, GA 30720
(706) 226-2228
(706) 226-1881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013134
GA
Other
Enumeration date
07/19/2006
Last updated
05/27/2009
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