Individual
DR. TRACY JAEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1860 E EGBERT ST, BRIGHTON, CO 80601-2404
(303) 697-2583
Mailing address
2581 VINTAGE CREST LN, OAKTON, VA 22124-1165
(703) 659-3338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00205869
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/24/2023
Last updated
05/08/2024
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