| Gwinnett General Dentistry | |
|
3100 Five Forks Trickum Rd Sw Suite 201 Lilburn GA 30047-1890 | |
| (770) 978-3292 | |
| Not Available |
| Full Name | Gwinnett General Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3100 Five Forks Trickum Rd Sw, Lilburn, Georgia |
| Authorized Official Name and Position | Donna Long (OFFICE MANAGER) |
| Authorized Official Contact | 7709783292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett General Dentistry 3100 Five Forks Trickum Rd Sw Suite 201 Lilburn GA 30047-1890 Ph: (770) 978-3292 | Gwinnett General Dentistry 3100 Five Forks Trickum Rd Sw Suite 201 Lilburn GA 30047-1890 Ph: (770) 978-3292 |
| NPI Number | 1821259854 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821259854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011818 (Georgia) | Primary |
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