| Lake Park Dental Georgia | |
|
2300 Lake Park Dr Se Ste #160 Smyrna GA 30080-4076 | |
| (770) 432-0783 | |
| Not Available |
| Full Name | Lake Park Dental Georgia |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2300 Lake Park Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Iu Lu (DENTIST) |
| Authorized Official Contact | 6786373835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Park Dental Georgia 2300 Lake Park Dr Se Ste #160 Smyrna GA 30080-4076 Ph: () - | Lake Park Dental Georgia 2300 Lake Park Dr Se Ste #160 Smyrna GA 30080-4076 Ph: (770) 432-0783 |
| NPI Number | 1114342151 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114342151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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