Loganville Dental Associates
NPI #1154682219 in Loganville, Georgia
Provider Information
- NPI Number
- 1154682219
- Entity Type
- Organization
- Organization Name
- Loganville Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 150 HIGHWAY 78
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2277
- Phone
- (770) 466-0580
Authorized Official
- Name
- JANE HAMMOND
- Title
- OFFICE MANAGER
- Phone
- (770) 466-0580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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