Speciality Dental Services of Georgia

NPI #1326312109 in Powder Springs, Georgia

Provider Information

NPI Number: 1326312109
Entity Type: Organization
Organization Name: Speciality Dental Services of Georgia
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 2758 LOST LAKES DR.
City: Powder Springs
State: Georgia
ZIP Code: 30127-0000
Phone: (866) 275-2767

Authorized Official

Name: DR. RICHARD B. LIPSOKY, D.M.D.
Title: OWNER
Phone: (866) 275-2767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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