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
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 PracticeGeneral Practice

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