Mall of Georgia Dentistry

NPI #1871943662 in Buford, Georgia

Provider Information

NPI Number
1871943662
Entity Type
Organization
Organization Name
Mall of Georgia Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 13, 2016
Last Updated
May 2, 2018

Practice Location

Address
1905 MALL OF GEORGIA BLVD STE 1
City
Buford
State
Georgia
ZIP Code
30519
Phone
(678) 714-6343

Authorized Official

Name
ALLISON VANCIL
Title
OFFICE MANAGER
Phone
(678) 714-6343

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - General PracticeGeneral Practice

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