DR. Randy Earl Muccioli, DMD

NPI #1346229614 in Johns Creek, Georgia

Provider Information

NPI Number
1346229614
Entity Type
Individual
Name
DR. Randy Earl Muccioli, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Prosthodontics
Credential
DMD
Enumeration Date
Jan 13, 2006
Last Updated
Jan 22, 2013

Practice Location

Address
6300 HOSPITAL PKWY
Address 2
SUITE 275
State
Georgia
ZIP Code
30097-1828
Phone
(678) 389-9955

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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