| NPI | 1285978486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE President 706-691-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013429) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2013-01-11 |