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Organization
WALDRON AND LEE DENTISTRY LLC
Active
Organization
WALDRON AND LEE DENTISTRY LLC
Active
Other names
Waldron and Lee Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BLAIR WALDRON (DENTIST)
(770) 977-5547
Entity
Organization
Contact information
Practice address
2419 ROSWELL RD, MARIETTA, GA 30062-4955
(770) 977-5547
Mailing address
2419 ROSWELL RD, MARIETTA, GA 30062-4955
(770) 977-5547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/19/2018
Last updated
08/21/2024
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