Individual
DR. MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4280 LAVISTA RD STE C117, TUCKER, GA 30084-5315
(770) 509-5585
Mailing address
4280 LAVISTA RD STE C117, TUCKER, GA 30084-5315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015499
GA
Other
Enumeration date
07/31/2017
Last updated
08/15/2023
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