Organization
MINNITI DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO MINNITI D.D.S. (DENTIST)
(678) 990-8590
Entity
Organization
Contact information
Practice address
270 SAINT CLAIRE DR, SUITES 104-105, ALPHARETTA, GA 30004-5728
(678) 990-8590
(678) 990-8594
Mailing address
270 SAINT CLAIRE DR, SUITES 104-105, ALPHARETTA, GA 30004-5728
(678) 990-8590
(678) 990-8594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58879DM
—
GA
Enumeration date
01/18/2013
Last updated
01/18/2013
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