| NPI | 1386930394 |
|---|---|
| Other Name | JAJA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 0000011751) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6737-015) |
| 122300000X Dentist (Licence: GA DN014745) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-03-14 |