Individual
DR. LEE DALE JESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 S POKEGAMA AVE, SUITE 101, GRAND RAPIDS, MN 55744-3838
(218) 326-3231
(218) 326-4619
Mailing address
501 S POKEGAMA AVE, SUITE 101, GRAND RAPIDS, MN 55744-3838
(218) 326-3231
(218) 326-4619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7035
MN
Other
Enumeration date
11/14/2006
Last updated
07/21/2022
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