Individual
JASON REX LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
195 GREENCASTLE RD, TYRONE, GA 30290
(770) 486-5585
(770) 486-9877
Mailing address
195 GREENCASTLE RD, TYRONE, GA 30290
(770) 486-5585
(770) 486-9877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11141
GA
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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