Individual
DR. JAE HYUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
38 BLANDING BLVD, ORANGE PARK, FL 32073-2282
(904) 272-9440
Mailing address
38 BLANDING BLVD, ORANGE PARK, FL 32073-2282
(904) 272-9440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25176
FL
Other
Enumeration date
07/13/2020
Last updated
06/27/2022
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