Individual
MR. BEOM J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4855 RIVER GREEN PKWY, SUITE 110, DULUTH, GA 30096-8336
(770) 500-3757
(770) 476-4995
Mailing address
4855 RIVER GREEN PKWY, SUITE 110, DULUTH, GA 30096-8336
(770) 500-3757
(770) 476-4995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013393
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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