Individual
DR. DAVE CHILDRESS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
570 N JEFF DAVIS DR, SUITE A, FAYETTEVILLE, GA 30214-1834
(770) 461-6465
(770) 461-2888
Mailing address
570 N JEFF DAVIS DR, SUITE A, FAYETTEVILLE, GA 30214-1834
(770) 461-6465
(770) 461-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9815
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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