Jae Eun Lee, DDS
NPI #1366771875 in North Bend, Oregon
Provider Information
- NPI Number
- 1366771875
- Entity Type
- Individual
- Name
- Jae Eun Lee, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 11, 2009
- Last Updated
- Aug 3, 2012
Practice Location
- Address
- 1860 VIRGINIA AVE
- Address 2
- #8
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2355
- Phone
- (541) 756-7568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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