| Lake Lanier Smiles | |
|
4965 Lanier Islands Pkwy Suite 105 Buford GA 30518-1700 | |
| (770) 831-0559 | |
| Not Available |
| Full Name | Lake Lanier Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4965 Lanier Islands Pkwy, Buford, Georgia |
| Authorized Official Name and Position | Praveen Gudipati (DENTIST/OWNER) |
| Authorized Official Contact | 4049667766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Lanier Smiles 4965 Lanier Islands Pkwy Suite 105 Buford GA 30518-1700 Ph: (770) 831-0559 | Lake Lanier Smiles 4965 Lanier Islands Pkwy Suite 105 Buford GA 30518-1700 Ph: (770) 831-0559 |
| NPI Number | 1235589995 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235589995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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