Chauntell Lanae Pullman D.D.S.

NPI 1568781425 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1568781425
Gender Female
Enumeration Date 05/18/2010
Last Updated 11/03/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
4574 LAWRENCEVILLE HWY NW STE 120
LILBURN GA, 30047-3605, US
Phone (770) 921-9000
Fax
Business Location
4574 LAWRENCEVILLE HWY NW STE 120
LILBURN GA, 30047-3605, US
Phone (770) 921-9000
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Chauntell Lanae Pullman D.D.S. NPI is 1568781425, taxonomy code is 390200000X Chauntell Lanae Pullman D.D.S. physically located at 4574 Lawrenceville Hwy Nw Ste 120, Lilburn GA, 30047-3605. NPI Number Chauntell Lanae Pullman D.D.S. has the Individual type.

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1568781425 NPI number is provided on an as is basis without warranty of any kind. 1568781425 is maintained by the National Plan & Provider Enumeration System. The contents of Chauntell Lanae Pullman D.D.S. are for informational purposes only.