JINA LEE
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1861310237- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 609 BEAVER RUIN RD NW STE A, LILBURN, GA, 300473401
- Phone
- (770) 925-3300
Specialties & Taxonomies
Dentist, General Practice
Primary License: GA #DN124204