Lee Christopher Vandewater D.M.D.

NPI 1053325795 - Dentist - 1223S0112X

NPI Details
NPI 1053325795
Gender Male
Enumeration Date 07/28/2006
Last Updated 01/06/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
55 WHITCHER ST NE
SUITE 140
MARIETTA GA, 30060-1155, US
Phone (770) 422-7630
Fax (770) 422-6017
Business Location
55 WHITCHER ST NE
SUITE 140
MARIETTA GA, 30060-1155, US
Phone (770) 422-7630
Fax (770) 422-6017
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number 011316
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According to our database, Dr. Lee Christopher Vandewater D.M.D. NPI is 1053325795, taxonomy code is 1223S0112X and license number is 011316, license state is located at Georgia. Lee Christopher Vandewater D.M.D. physically located at 55 Whitcher St Ne, Marietta GA, 30060-1155. NPI Number Lee Christopher Vandewater D.M.D. has the Individual type.

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1053325795 NPI number is provided on an as is basis without warranty of any kind. 1053325795 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Christopher Vandewater D.M.D. are for informational purposes only.