| Gwinnett Family Dentistry | |
|
504 Indian Trail Lilburn Rd Nw Suite 100 Lilburn GA 30047-3720 | |
| (770) 921-5100 | |
| Not Available |
| Full Name | Gwinnett Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 504 Indian Trail Lilburn Rd Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Carlos Fernando Barrionuevo (CEO) |
| Authorized Official Contact | 7709215100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Family Dentistry 504 Indian Trail Lilburn Rd Nw Suite 100 Lilburn GA 30047-3720 Ph: (770) 921-5100 | Gwinnett Family Dentistry 504 Indian Trail Lilburn Rd Nw Suite 100 Lilburn GA 30047-3720 Ph: (770) 921-5100 |
| NPI Number | 1104167865 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104167865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Georgia) | Primary |
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