Loganville Dentist Office, PC
NPI #1336693506 in Loganville, Georgia
Provider Information
- NPI Number
- 1336693506
- Entity Type
- Organization
- Organization Name
- Loganville Dentist Office, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 5, 2016
- Last Updated
- Aug 5, 2016
Practice Location
- Address
- 4799 ATLANTA HWY
- Address 2
- SUITE 520
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7307
- Phone
- (404) 720-6097
Authorized Official
- Name
- DR. KATIE L MCCANN, DDS
- Title
- OWNER
- Phone
- (404) 720-6097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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