| Gwinnett Dental Care Lawrenceville Llc | |
|
911 Duluth Hwy Ste E2 Lawrenceville GA 30043-5399 | |
| (678) 520-7534 | |
| Not Available |
| Full Name | Gwinnett Dental Care Lawrenceville Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 911 Duluth Hwy Ste E2, Lawrenceville, Georgia |
| Authorized Official Name and Position | Long Phung (OWNER DENTIST) |
| Authorized Official Contact | 6785207534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Dental Care Lawrenceville Llc 301 Paper Woods Dr Lawrenceville GA 30046-5366 Ph: (678) 520-7534 | Gwinnett Dental Care Lawrenceville Llc 911 Duluth Hwy Ste E2 Lawrenceville GA 30043-5399 Ph: (678) 520-7534 |
| NPI Number | 1235875295 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235875295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 2 days ago
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