Advanced Center of Cosmetic Dentistry & Implantology PC

NPI #1639182306 in Lilburn, Georgia

Provider Information

NPI Number: 1639182306
Entity Type: Organization
Organization Name: Advanced Center of Cosmetic Dentistry & Implantology PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 449 PLEASANT HILL RD
Address 2: SUITE 101
City: Lilburn
State: Georgia
ZIP Code: 30047
Phone: (770) 564-9906

Authorized Official

Name: DR. RANDOLPH PAUL GARDNER, DMD
Title: GENERAL DENTIST
Phone: (770) 564-9906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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