Individual
JONG S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4855 RIVER GREEN PKWY STE 110, DULUTH, GA 30096-8333
(770) 500-3757
Mailing address
4855 RIVER GREEN PKWY STE 110, DULUTH, GA 30096-8333
(770) 500-3757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6842-15
WI
1223G0001X
General Practice Dentistry
Primary
DN014311
GA
Other
Enumeration date
11/06/2011
Last updated
04/05/2020
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