| Gwinnett Family Dental Care | |
|
3455 Lawrenceville Hwy Lawrenceville GA 30044-4101 | |
| (770) 921-1115 | |
| (770) 564-3856 |
| Full Name | Gwinnett Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 3455 Lawrenceville Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Kell D. Gallaher (OWNER) |
| Authorized Official Contact | 7709211115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Family Dental Care 3455 Lawrenceville Hwy Lawrenceville GA 30044-4101 Ph: (770) 921-1115 | Gwinnett Family Dental Care 3455 Lawrenceville Hwy Lawrenceville GA 30044-4101 Ph: (770) 921-1115 |
| NPI Number | 1316112360 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316112360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | GA11839 (Georgia) | Primary |
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