Organization
HAVEN DENTAL CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS T LEE DDS (DENTIST)
(770) 624-4912
Entity
Organization
Contact information
Practice address
3312 PEACHTREE INDUSTRIAL BLVD STE 8, DULUTH, GA 30096-8100
(770) 545-8647
(770) 545-8648
Mailing address
3312 PEACHTREE INDUSTRIAL BLVD STE 8, DULUTH, GA 30096-8100
(770) 545-8647
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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