NPI 1073270336

Charolette B Lee

Practitioner Dental Assistant Fort Benning, GA

Practice location

Address: Salomon Dental Clinic 11th Airborne Division Road, Fort Benning, GA 31905
Phone: (706) 544-9072
Mailing address: 599 Laurel Ridge Ln, Cataula, GA 31804-2866

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1073270336
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2021
Record last updated: 22 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.