DR. Ilkyu Jason Lee, D.M.D

NPI #1861826935 in Salem, Oregon

Provider Information

NPI Number
1861826935
Entity Type
Individual
Name
DR. Ilkyu Jason Lee, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Aug 26, 2013
Last Updated
Oct 23, 2014

Practice Location

Address
1160 LIBERTY ST SE
City
Salem
State
Oregon
ZIP Code
97302-4143
Phone
(503) 363-3311

Specialties & Taxonomy Codes

Specialty
Dentist

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