DR. Jason Thomas Lue Yen, DDS

NPI #1780996801 in Commerce, Georgia

Provider Information

NPI Number: 1780996801
Entity Type: Individual
Name: DR. Jason Thomas Lue Yen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 6, 2010
Last Updated: Dec 29, 2016

Practice Location

Address: 226 STEVEN B TANGER BLVD
City: Commerce
State: Georgia
ZIP Code: 30529-3571
Phone: (706) 423-9291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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