| Centre Of Panola Cosmetic & Family Dentistry P.c. | |
|
3035 Panola Rd Ste A Lithonia GA 30038-2494 | |
| (770) 498-3744 | |
| Not Available |
| Full Name | Centre Of Panola Cosmetic & Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3035 Panola Rd Ste A, Lithonia, Georgia |
| Authorized Official Name and Position | Ida Lanier (PRESIDENT) |
| Authorized Official Contact | 7704983744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Of Panola Cosmetic & Family Dentistry P.c. 3035 Panola Rd Ste A Lithonia GA 30038-2494 Ph: (770) 498-3744 | Centre Of Panola Cosmetic & Family Dentistry P.c. 3035 Panola Rd Ste A Lithonia GA 30038-2494 Ph: (770) 498-3744 |
| NPI Number | 1942021555 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942021555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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