Grayson Family Dental Care, Llc | |
1365 Grayson Hwy Ste 106 Lawrenceville GA 30045-6760 | |
(404) 259-3232 | |
Not Available |
Full Name | Grayson Family Dental Care, Llc |
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Speciality | Dentist |
Location | 1365 Grayson Hwy Ste 106, Lawrenceville, Georgia |
Authorized Official Name and Position | Chau Ngoc Hoang (DENTIST) |
Authorized Official Contact | 4042593232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grayson Family Dental Care, Llc 1365 Grayson Hwy Ste 106 Lawrenceville GA 30045-6760 Ph: (404) 259-3232 | Grayson Family Dental Care, Llc 1365 Grayson Hwy Ste 106 Lawrenceville GA 30045-6760 Ph: (404) 259-3232 |
NPI Number | 1366830762 |
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Provider Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |
Identifier | Type | State | Issuer |
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1366830762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN013648 (Georgia) | Primary |
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