| Jae Lee DDS LLC | |
|
8010 Mcginnis Ferry Rd Ste F Suwanee GA 30024-5137 | |
| (813) 765-2804 | |
| Not Available |
| Full Name | Jae Lee DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 8010 Mcginnis Ferry Rd Ste F, Suwanee, Georgia |
| Authorized Official Name and Position | Jae Lee (DENTIST/OWNER) |
| Authorized Official Contact | 8137652804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Lee DDS LLC 8010 Mcginnis Ferry Rd Ste F Suwanee GA 30024-5137 Ph: (770) 765-2815 | Jae Lee DDS LLC 8010 Mcginnis Ferry Rd Ste F Suwanee GA 30024-5137 Ph: (813) 765-2804 |
| NPI Number | 1659955532 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659955532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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