Individual
DR. JACOB LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 760-9233
Mailing address
2204 PORTER LOOP, YAKIMA, WA 98901-6112
(509) 760-9233
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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