ILKYU JASON LEE

SALEM, OR
NPI1861826935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10102)
Additional Taxonomies122300000X Dentist
(Licence: OK  6545)
Enumeration Date2013-08-26
Last Update Date2014-10-23
Business Address
Dr. ILKYU JASON LEE D.M.D
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-363-3311
Mailing Address
Dr. ILKYU JASON LEE D.M.D
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-363-3311
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