Vineyards Dental Care

NPI #1225191935 in Braselton, Georgia

Provider Information

NPI Number: 1225191935
Entity Type: Organization
Organization Name: Vineyards Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2095 HIGHWAY 211 NW
Address 2: SUITE 6-A
City: Braselton
State: Georgia
ZIP Code: 30517-3402
Phone: (770) 868-4288

Authorized Official

Name: DR. THOMAS J. MAZZUCKELLI, PHD., D.M.D.
Title: OWNER
Phone: (770) 868-4288

Specialties & Taxonomy Codes

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

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