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Individual

TAEYOUNG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
12988 GA-9, MILTON, GA 30004
(678) 691-2900
Mailing address
2285 PRICKLY PEAR WALK, LAWRENCEVILLE, GA 30043-6344
(678) 620-7560

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
123084
GA

Other

Enumeration date
06/30/2023
Last updated
06/30/2023
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