| Swl Dental | |
|
3415 E Lawrenceville St Duluth GA 30096-3354 | |
| (770) 476-5227 | |
| Not Available |
| Full Name | Swl Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3415 E Lawrenceville St, Duluth, Georgia |
| Authorized Official Name and Position | Slade Wallace Lail (DENTIST/OWNER) |
| Authorized Official Contact | 7704765227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swl Dental 3415 E Lawrenceville St P.o. Box 610 Duluth GA 30096-3354 Ph: (770) 476-5227 | Swl Dental 3415 E Lawrenceville St Duluth GA 30096-3354 Ph: (770) 476-5227 |
| NPI Number | 1881981181 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881981181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11701 (Georgia) | Primary |
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