Dr LEE C VANDEWATER is a male medical professional, specializing in Oral Surgery. He graduated in 1982 from Southern Illinois Univ School Of Dental Medicine.
NORTHWEST ORAL AND MAXILLOFACIAL SURGERY ASSOC.
85 GOLF CREST DR
SUITE 209
ACWORTH
GA
301012698
Tel: 7706327801
| Npi | 1053325795 |
| Pac Id | 1850450834 |
| Professional Enrollment Id | I20081105000570 |
| Last Name | VANDEWATER |
| First Name | LEE |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialty 1 | MAXILLOFACIAL SURGERY |
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| Secondary Specialty 4 | |
| All Secondary Specialties | MAXILLOFACIAL SURGERY |
| Organization Legal Name | NORTHWEST ORAL AND MAXILLOFACIAL SURGERY ASSOC. |
| Group Practice Pac Id | 8426030891 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 85 GOLF CREST DR |
| Line 2 Street Address | SUITE 209 |
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| City | ACWORTH |
| State | GA |
| Zip Code | 301012698 |
| Phone Number | 7706327801 |
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| Professional Accepts Medicare Assignment | Y |
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