Individual
JAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
39 JEFFERSON AVE, ELIZABETH, NJ 07201-2425
(908) 354-4466
Mailing address
39 JEFFERSON AVE, ELIZABETH, NJ 07201-2425
(908) 354-4466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22291
NJ
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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