Centre of Panola Cosmetic & Family Dentistry P.c.

NPI #1942021555 in Lithonia, Georgia

Provider Information

NPI Number
1942021555
Entity Type
Organization
Organization Name
Centre of Panola Cosmetic & Family Dentistry P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 17, 2024
Last Updated
Oct 17, 2024

Practice Location

Address
3035 PANOLA RD STE A
State
Georgia
ZIP Code
30038-2494
Phone
(770) 498-3744

Authorized Official

Name
IDA LANIER, DDS
Title
PRESIDENT
Phone
(770) 498-3744

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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