| Jared Lee DDS LLC | |
|
712 W 12th St Suite 2 Juneau AK 99801-1574 | |
| (907) 586-1188 | |
| (907) 586-4408 |
| Full Name | Jared Lee DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 W 12th St, Juneau, Alaska |
| Authorized Official Name and Position | Jared Lee (OWNER) |
| Authorized Official Contact | 9075861188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Lee DDS LLC 712 W 12th St Suite 2 Juneau AK 99801-1574 Ph: (907) 586-1188 | Jared Lee DDS LLC 712 W 12th St Suite 2 Juneau AK 99801-1574 Ph: (907) 586-1188 |
| NPI Number | 1588026165 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588026165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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