Enw Dentistry PC DBA

NPI #1083719439 in Lilburn, Georgia

Provider Information

NPI Number: 1083719439
Entity Type: Organization
Organization Name: Enw Dentistry PC DBA
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4574 LAWRENCEVILLE HWY NW
Address 2: 120
City: Lilburn
State: Georgia
ZIP Code: 30047-3618
Phone: (770) 921-9000

Authorized Official

Name: GINGER GARDNER
Title: MANAGER
Phone: (770) 231-7657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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