Organization
JAE LEE DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE LEE DDS (DENTIST/OWNER)
(813) 765-2804
Entity
Organization
Contact information
Practice address
8010 MCGINNIS FERRY RD STE F, SUWANEE, GA 30024-5137
(813) 765-2804
Mailing address
8010 MCGINNIS FERRY RD STE F, SUWANEE, GA 30024-5137
(770) 765-2815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
11/10/2021
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