Individual
DR. JAE SUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6316 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6953
(980) 265-3180
Mailing address
6316 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6953
(980) 265-3180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11785
NC
Other
Enumeration date
06/02/2020
Last updated
12/29/2020
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