Individual
MRS. CHAROLETTE B LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SALOMON DENTAL CLINIC, 11TH AIRBORNE DIVISION ROAD, FORT BENNING, GA 31905
(706) 544-9072
Mailing address
599 LAUREL RIDGE LN, CATAULA, GA 31804-2866
(706) 566-3037
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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