Organization
LAKE POINTE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA AGUILAR (OFFICE MANAGER)
(770) 966-9396
Entity
Organization
Contact information
Practice address
3950 COBB PKWY NW, SUITE 402, ACWORTH, GA 30101-9532
(770) 966-9396
(770) 966-8774
Mailing address
3950 COBB PKWY NW, SUITE 402, ACWORTH, GA 30101-9532
(770) 966-9396
(770) 966-8774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/04/2010
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