Individual
JAEYOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4690 HOG MOUNTAIN RD STE H105, FLOWERY BRANCH, GA 30542-6422
(770) 967-1001
Mailing address
1290 OLD PEACHTREE RD APT 4321, DULUTH, GA 30097-5324
(803) 243-7290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123810
GA
Other
Enumeration date
02/12/2024
Last updated
10/30/2025
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