Princeton Dental Group-Loganville
NPI #1275810129 in Loganville, Georgia
Provider Information
- NPI Number
- 1275810129
- Entity Type
- Organization
- Organization Name
- Princeton Dental Group-Loganville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Sep 28, 2014
Practice Location
- Address
- 4353 ATLANTA HWY
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-3214
- Phone
- (770) 554-0848
Authorized Official
- Name
- DR. KEVIN BLAIR
- Title
- OWNER/OPERATOR
- Phone
- (404) 324-2012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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