White Lightning PC

NPI #1417173691 in Tucker, Georgia

Provider Information

NPI Number: 1417173691
Entity Type: Organization
Organization Name: White Lightning PC
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2007
Last Updated: Jan 28, 2010

Practice Location

Address: 1462 MONTREAL RD
Address 2: SUITE 211
City: Tucker
State: Georgia
ZIP Code: 30084-6929
Phone: (770) 938-1848

Authorized Official

Name: HIREN PATEL
Title: PRESIDENT
Phone: (770) 938-1848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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