Individual
JAKOB DOUGLAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
898 44TH ST SW, GRANDVILLE, MI 49418-9508
(616) 669-5595
(888) 453-2029
Mailing address
898 44TH ST SW, GRANDVILLE, MI 49418-9508
(616) 669-5595
(888) 453-2029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601651
MI
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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