Individual
GAJIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 WESTERN BLVD STE 104, JACKSONVILLE, NC 28546-7637
(910) 346-2202
Mailing address
5079 WESTERN BLVD APT 3F, JACKSONVILLE, NC 28546-7187
(551) 404-8394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14331
NC
Other
Enumeration date
03/22/2023
Last updated
07/12/2025
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