| Lawrenceville Healthy Smiles Llc | |
|
102 Gordon St Lawrenceville GA 30046-6910 | |
| (732) 763-5843 | |
| Not Available |
| Full Name | Lawrenceville Healthy Smiles Llc |
|---|---|
| Speciality | Dentist |
| Location | 102 Gordon St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Shalini Nair (OWNER) |
| Authorized Official Contact | 7327635843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrenceville Healthy Smiles Llc 102 Gordon St Lawrenceville GA 30046-6910 Ph: (732) 763-5843 | Lawrenceville Healthy Smiles Llc 102 Gordon St Lawrenceville GA 30046-6910 Ph: (732) 763-5843 |
| NPI Number | 1114400181 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114400181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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