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Individual

DR. DONG HA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5781 BUFORD HWY NE STE 103, DORAVILLE, GA 30340-1239
(770) 451-2322
Mailing address
5781 BUFORD HWY NE STE 103, DORAVILLE, GA 30340-1239
(770) 451-2322

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE00010890
WA
122300000X
Dentist
Primary
DN012904
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
716979696D
GA
Enumeration date
12/05/2006
Last updated
01/25/2011
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