Individual
DR. LAUREN CRAWFORD WEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 200, NORCROSS, GA 30092-5223
(770) 447-5311
Mailing address
4965 PHILLIP CREEK LN, SUGAR HILL, GA 30518-7898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN015916
DENTAL LICENSE NUMBER
GA
Enumeration date
07/28/2019
Last updated
07/28/2019
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