Individual
DR. TAE JE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6240 QUINWOOD LN N STE 100, MAPLE GROVE, MN 55369-6384
(763) 391-6486
(763) 710-7485
Mailing address
6240 QUINWOOD LN N STE 100, MAPLE GROVE, MN 55369-6384
(763) 391-6486
(763) 710-7485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14630
MN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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