Individual
DANIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WHITE ST NW, MARIETTA, GA 30060-1058
(770) 796-7081
Mailing address
5028 PRESERVATION POINTE NW, KENNESAW, GA 30152-3974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123182
GA
Other
Enumeration date
07/17/2023
Last updated
04/10/2024
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