Lawrenceville Family Dentistry

NPI #1003280595 in Lawrenceville, Georgia

Provider Information

NPI Number: 1003280595
Entity Type: Organization
Organization Name: Lawrenceville Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Nov 20, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 3664 CLUB DR
Address 2: STE 105
City: Lawrenceville
State: Georgia
ZIP Code: 30044-2961
Phone: (770) 279-7987

Authorized Official

Name: DR. NAYEEM BASHAR, DDS
Title: PRESIDENT
Phone: (770) 279-7987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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