Loganville Family Dentistry

NPI #1033344650 in Loganville, Georgia

Provider Information

NPI Number: 1033344650
Entity Type: Organization
Organization Name: Loganville Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2009
Last Updated: May 27, 2009

Practice Location

Address: 3973 ATLANTA HWY
Address 2: SUITE 100
City: Loganville
State: Georgia
ZIP Code: 30052-3752
Phone: (770) 466-3114

Authorized Official

Name: DR. PONNIE D POISAL
Title: DMD / OWNER
Phone: (770) 466-3114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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