Organization
DENTISTRY AT WINDERMERE, P.C.
Active
Other names
Dentistry at Windermere
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN Y LEE D.D.S. (DENTIST/OWNER)
(770) 205-1212
Entity
Organization
Contact information
Practice address
2950 BUFORD HWY, SUITE 200, CUMMING, GA 30041-8215
(770) 205-1212
(770) 205-1211
Mailing address
2950 BUFORD HWY, SUITE 200, CUMMING, GA 30041-8215
(770) 205-1212
(770) 205-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
DN013420
GA
261QD0000X
Dental Clinic/Center
DN013473
GA
Other
Enumeration date
07/29/2009
Last updated
04/22/2013
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