| NPI | 1790916484 |
|---|---|
| Doing Business As | DENTISTRY AT WINDERMERE |
| Entity Type | Organization |
| Authorized Contact | BRIAN Y LEE Dentist/Owner 770-205-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: GA DN013420) |
| 261QD0000X Clinic/Center, Dental (Licence: GA DN013473) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-04-22 |