Individual
DR. JASON THOMAS LUE YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
226 STEVEN B TANGER BLVD, COMMERCE, GA 30529-3571
(706) 423-9291
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19149
FL
Other
Enumeration date
07/06/2010
Last updated
12/29/2016
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