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Individual

DR. JAE WON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
726 E. 9TH AVENUE, ANCHORAGE, AK 99501
(907) 333-6666
(907) 278-0226
Mailing address
9126 E FAIRVIEW AVE, SAN GABRIEL, CA 91775-1308

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
125055
AK

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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