Organization
ENW DENTISTRY PC DBA
Active
Other names
Zoom Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER GARDNER (MANAGER)
(770) 231-7657
Entity
Organization
Contact information
Practice address
4574 LAWRENCEVILLE HWY NW, 120, LILBURN, GA 30047-3618
(770) 921-9000
(770) 931-7704
Mailing address
4574 LAWRENCEVILLE HWY, 120, LILBURN, GA 30047-3618
(770) 921-9000
(770) 931-7704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009491
GA
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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