Lilburn Dental Center

NPI 1285770701 - Dentist - 1223G0001X

NPI Details
NPI 1285770701
Enumeration Date 01/30/2007
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERICA ERICA
Position OFFICE MANGAGER
Phone (770) 638-8090
Fax (770) 638-8144
Practice Location
4145 LAWRENCEVILLE HWY NW
STE 5
LILBURN GA, 30047-2807, US
Phone (770) 638-8090
Fax (770) 638-8144
Business Location
4145 LAWRENCEVILLE HWY NW
STE 5
LILBURN GA, 30047-2807, US
Phone (770) 638-8090
Fax (770) 638-8144
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN012698
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According to our database, Lilburn Dental Center NPI is 1285770701, taxonomy code is 1223G0001X and license number is DN012698, license state is located at Georgia. Lilburn Dental Center physically located at 4145 Lawrenceville Hwy Nw, Lilburn GA, 30047-2807. NPI Number 1033115704 has the healthcare provider type.

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1285770701 NPI number is provided on an as is basis without warranty of any kind. 1285770701 is maintained by the National Plan & Provider Enumeration System. The contents of Lilburn Dental Center are for informational purposes only.