Individual
JASON HARRISS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 DAVIS RD, MARTINEZ, GA 30907-2384
(706) 691-2287
Mailing address
116 DAVIS RD, MARTINEZ, GA 30907-2384
(706) 691-2287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4265
SC
1223G0001X
General Practice Dentistry
DN013429
GA
Other
Enumeration date
11/07/2006
Last updated
01/11/2013
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