| Dentistry At The Mills | |
|
1860 Duluth Hwy Ste 401 Lawrenceville GA 30043-5061 | |
| (678) 226-9063 | |
| (678) 226-9445 |
| Full Name | Dentistry At The Mills |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1860 Duluth Hwy Ste 401, Lawrenceville, Georgia |
| Authorized Official Name and Position | Kellie Castro (OWNER/DENTIST) |
| Authorized Official Contact | 6782269063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry At The Mills 1860 Duluth Hwy Ste 401 Lawrenceville GA 30043-5061 Ph: () - | Dentistry At The Mills 1860 Duluth Hwy Ste 401 Lawrenceville GA 30043-5061 Ph: (678) 226-9063 |
| NPI Number | 1730691874 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730691874 | NPI | - | NPPES |
| 1619289246 | Other | NC | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN015357 (Georgia) | Primary |
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