Lilburn Dental Center

NPI #1285770701 in Lilburn, Georgia

Provider Information

NPI Number: 1285770701
Entity Type: Organization
Organization Name: Lilburn Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2007
Last Updated: Aug 13, 2008

Practice Location

Address: 4145 LAWRENCEVILLE HWY NW
Address 2: STE 5
City: Lilburn
State: Georgia
ZIP Code: 30047-2807
Phone: (770) 638-8090

Authorized Official

Name: ERICA EWOMACK
Title: OFFICE MANGAGER
Phone: (770) 638-8090

Specialties & Taxonomy Codes

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

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