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Individual

DR. JAE YONG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8010 MCGINNIS FERRY RD STE F, SUWANEE, GA 30024-5137
(770) 765-2815
Mailing address
8010 MCGINNIS FERRY RD STE F, SUWANEE, GA 30024-5137
(770) 765-2815

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02577300
NJ
1223G0001X
General Practice Dentistry
Primary
DN016098
GA

Other

Enumeration date
07/24/2014
Last updated
06/02/2022
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