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1558486027
DAVE CHILDRESS LEE
FAYETTEVILLE, GA
NPI
1558486027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9815)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. DAVE CHILDRESS LEE D.M.D.
570 N JEFF DAVIS DR SUITE A
FAYETTEVILLE, GA 30214-1834
Phone number: 770-461-6465
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Mailing Address
Dr. DAVE CHILDRESS LEE D.M.D.
570 N JEFF DAVIS DR SUITE A
FAYETTEVILLE, GA 30214-1834
Phone number: 770-461-6465
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