Organization
SUGARLOAF CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEE DMD (OWNER)
(770) 813-9393
Entity
Organization
Contact information
Practice address
1299 OLD PEACHTREE RD NW STE 102103, SUWANEE, GA 30024-2028
(770) 813-9393
Mailing address
1299 OLD PEACHTREE RD NW STE 102103, SUWANEE, GA 30024-2028
(770) 813-9393
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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