DR. Lana Lvovna Mamut, DMD

NPI #1578731907 in Suwanee, Georgia

Provider Information

NPI Number
1578731907
Entity Type
Individual
Name
DR. Lana Lvovna Mamut, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Feb 19, 2008
Last Updated
Dec 1, 2009

Practice Location

Address
3130 MATHIS AIRPORT PKWY
Address 2
STE 309
State
Georgia
ZIP Code
30024-9131
Phone
(404) 579-0519

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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