Organization
SUSAN H LEE DMD LLC
Active
Other names
Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN HAE-KYUNG LEE DMD (DENTIST/OWNER)
(404) 355-8557
Entity
Organization
Contact information
Practice address
3280 HOWELL MILL RD NW, STE 121, ATLANTA, GA 30327-4111
(404) 355-8557
Mailing address
3280 HOWELL MILL RD NW, STE 121, ATLANTA, GA 30327-4111
(404) 355-8557
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN011872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821895E
—
GA
Enumeration date
09/21/2006
Last updated
02/24/2009
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