Individual
THOMAS TAESU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3312 PEACHTREE INDUSTRIAL BLVD, SUITE 8, DULUTH, GA 30096-8100
(770) 545-8647
Mailing address
3312 PEACHTREE INDUSTRIAL BLVD, SUITE 8, DULUTH, GA 30096-8100
(770) 545-8647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013809
GA
Other
Enumeration date
10/28/2008
Last updated
07/15/2015
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