Royal Lakes Family and Cosmetic Dentistry, LLC
NPI #1710216783 in Flowery Branch, Georgia
Provider Information
- NPI Number
- 1710216783
- Entity Type
- Organization
- Organization Name
- Royal Lakes Family and Cosmetic Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 21, 2009
- Last Updated
- Dec 21, 2009
Practice Location
- Address
- 4005 WINDER HWY
- Address 2
- SUITE 100
- City
- Flowery Branch
- State
- Georgia
- ZIP Code
- 30542-6564
- Phone
- (770) 531-3232
Authorized Official
- Name
- DR. REGINALD DOUGLAS BOOKER, DDS
- Title
- OWNER/DENTIST
- Phone
- (770) 531-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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