Individual
DR. JASON MATTHEW LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5222 N PORTLAND AVE, OAKLAHOMA CITY, OK 73112
(405) 947-1525
(405) 947-6716
Mailing address
5222 N PORTLAND AVE, OAKLAHOMA CITY, OK 73112
(405) 947-1525
(405) 947-6716
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5590
OK
Other
Enumeration date
06/06/2006
Last updated
09/16/2015
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