Organization
LEA ENDODONTICS, INC
Active
Other names
Coastal Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LEA DDS (OWNER)
(912) 756-5960
Entity
Organization
Contact information
Practice address
10220 FORD AVE, RICHMOND HILL, GA 31324-8825
(912) 756-5960
(912) 756-5964
Mailing address
PO BOX 1412, RICHMOND HILL, GA 31324-1412
(912) 756-5960
(912) 756-5964
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN013079
AZ
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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