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Organization
LEE FAMILY DENTISTRY
Active
Organization
LEE FAMILY DENTISTRY
Active
Other names
Dr. Jason M.Stevens, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHEAL STEVENS D.M.D. (OWNER / DENTIST)
(770) 445-1081
Entity
Organization
Contact information
Practice address
2176 MACLAND RD, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Mailing address
2176 MACLAND RD, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012439
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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