Organization
PEACHTREE MODERN DENTISTRY, PC
Active
Other names
Peachtree Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MCCANN LEE DDS (OWNER)
(678) 272-3964
Entity
Organization
Contact information
Practice address
125 FISCHER CROSSING DRIVE, SHARPSBURG, GA 30277
(678) 272-3964
(678) 325-0768
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
03/18/2022
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