Gwinnett Orthodontics | |
956 Killian Hill Rd Sw Ste D Lilburn GA 30047-8977 | |
(770) 921-2233 | |
(770) 921-6090 |
Full Name | Gwinnett Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 956 Killian Hill Rd Sw Ste D, Lilburn, Georgia |
Authorized Official Name and Position | Janice J Wilmot (OWNER/ORTHODONTIST) |
Authorized Official Contact | 7709212233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gwinnett Orthodontics 956 Killian Hill Rd Sw Ste D Lilburn GA 30047-8977 Ph: (770) 921-2233 | Gwinnett Orthodontics 956 Killian Hill Rd Sw Ste D Lilburn GA 30047-8977 Ph: (770) 921-2233 |
NPI Number | 1356975098 |
---|---|
Provider Enumeration Date | 03/02/2020 |
Last Update Date | 03/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356975098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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