Organization
LEE FAMILY DENTISTRY
Active
Other names
Dr. Jason M.Stevens, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHEAL STEVENS D.M.D. (OWNER / DENTIST)
(770) 445-1081
Entity
Organization
Contact information
Practice address
2176 MACLAND RD, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Mailing address
2176 MACLAND RD, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012439
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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