Organization
WALDRON AND LEE DENTISTRY LLC
Active
Other names
Waldron and Lee Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BLAIR WALDRON (DENTIST)
(770) 977-5547
Entity
Organization
Contact information
Practice address
2419 ROSWELL RD, MARIETTA, GA 30062-4955
(770) 977-5547
Mailing address
2419 ROSWELL RD, MARIETTA, GA 30062-4955
(770) 977-5547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/19/2018
Last updated
08/21/2024
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