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Individual
DR. LEE MCLEAN WHITESIDES
Active
Individual
DR. LEE MCLEAN WHITESIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN001123
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DNO11123
GA
Other
Enumeration date
06/13/2005
Last updated
06/29/2023
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