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Organization
EAST CROGAN DENTAL GROUP PC
Active
Organization
EAST CROGAN DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE DOMINIQUE SATURNE DMD (OWNER)
(678) 407-2803
Entity
Organization
Contact information
Practice address
168 E CROGAN ST, LAWRENCEVILLE, GA 30046-4950
(678) 407-2803
Mailing address
PO BOX 1173, LAWRENCEVILLE, GA 30046-1173
(678) 407-2803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856863952A
—
GA
Enumeration date
05/20/2015
Last updated
05/20/2015
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