Individual
DR. JA EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1777 MADISON ST, CLARKSVILLE, TN 37043-4909
(931) 202-9151
Mailing address
1777 MADISON ST, CLARKSVILLE, TN 37043-4909
(931) 202-9151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6737-015
WI
122300000X
Dentist
DN014745
GA
1223G0001X
General Practice Dentistry
Primary
0000011751
TN
Other
Enumeration date
06/28/2011
Last updated
03/14/2024
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