| NPI | 1972090504 |
|---|---|
| Doing Business As | WALDRON AND LEE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BLAIR WALDRON Dentist 770-977-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-08-21 |