Individual
DR. SUSAN HAE KYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3280 HOWELL MILL RD NW STE 121, ATLANTA, GA 30327-4107
(404) 355-8557
(404) 355-8321
Mailing address
3280 HOWELL MILL RD NW STE 121, ATLANTA, GA 30327-4107
(404) 355-8557
(404) 355-8321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN011872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821895D
—
GA
Enumeration date
07/26/2006
Last updated
09/18/2018
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