Organization
DENTISTRY AT HICKORY FLAT PC
Active
Other names
DENTISTRY AT HICKORY FLAT
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN Y LEE D.D.S. (DENTIST/OWNER)
(770) 213-8166
Entity
Organization
Contact information
Practice address
6199 HICKORY FLAT HWY STE 130, CANTON, GA 30115-7255
(770) 213-8166
(770) 213-8157
Mailing address
6199 HICKORY FLAT HWY STE 130, CANTON, GA 30115-7255
(770) 213-8166
(770) 213-8157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
DN013420
GA
261QD0000X
Dental Clinic/Center
DN013473
GA
Other
Enumeration date
02/06/2014
Last updated
05/18/2015
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