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Individual

DR. MICHAEL LEE MCKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7494 COVINGTON HWY, LITHONIA, GA 30058-7612
(770) 482-8220
Mailing address
7494 COVINGTON HWY, PO BOX 319, LITHONIA, GA 30058-7612
(770) 482-8220

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7763
GA

Other

Enumeration date
05/05/2007
Last updated
07/08/2007
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