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Individual

JEFFREY SCOTT LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10104
TN
122300000X
Dentist
Primary
DE60751453
WA

Other

Enumeration date
06/15/2015
Last updated
07/21/2022
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