Gangwisch Dental Group, L.l.c.

NPI #1588849186 in Lilburn, Georgia

Provider Information

NPI Number
1588849186
Entity Type
Organization
Organization Name
Gangwisch Dental Group, L.l.c.
Primary Specialty
Dentist
Enumeration Date
Jan 2, 2008
Last Updated
Jan 2, 2008

Practice Location

Address
912 KILLIAN HILL RD SW
Address 2
SUITE 100
State
Georgia
ZIP Code
30047-3138
Phone
(770) 923-3966

Authorized Official

Name
DR. RICHARD GANGWISCH, D.D.S.
Title
MEMBER
Phone
(770) 923-3966

Specialties & Taxonomy Codes

Specialty
Dentist

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