JAE EUN LEE

NORTH BEND, OR
NPI1366771875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D9736)
Additional Taxonomies122300000X Dentist
(Licence: KS  60744)
Enumeration Date2009-12-11
Last Update Date2012-08-03
Business Address
-- JAE EUN LEE DDS
1860 VIRGINIA AVE #8
NORTH BEND, OR 97459-2355
Phone number: 541-756-7568
Mailing Address
-- JAE EUN LEE DDS
1860 VIRGINIA AVE #8
NORTH BEND, OR 97459-2355
Phone number: 541-756-7568