| Sugarloaf Family Dental | |
|
4795 Sugarloaf Pkwy Lawrenceville GA 30044-6984 | |
| (678) 253-6455 | |
| Not Available |
| Full Name | Sugarloaf Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4795 Sugarloaf Pkwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugarloaf Family Dental 4795 Sugarloaf Pkwy Lawrenceville GA 30044-6984 Ph: () - | Sugarloaf Family Dental 4795 Sugarloaf Pkwy Lawrenceville GA 30044-6984 Ph: (678) 253-6455 |
| NPI Number | 1205249570 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205249570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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