Jae Lee DDS LLC

NPI #1659955532 in Suwanee, Georgia

Provider Information

NPI Number: 1659955532
Entity Type: Organization
Organization Name: Jae Lee DDS LLC
Primary Specialty: Dentist
Enumeration Date: May 7, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 8010 MCGINNIS FERRY RD STE F
City: Suwanee
State: Georgia
ZIP Code: 30024-5137
Phone: (813) 765-2804

Authorized Official

Name: DR. JAE LEE, DDS
Title: DENTIST/OWNER
Phone: (813) 765-2804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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