Organization
LAWRENCEVILLE DENTIST OFFICE, PC
Active
Other names
Lawrenceville Dentist Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER)
(404) 341-9670
Entity
Organization
Contact information
Practice address
918 DULUTH HWY, SUITE B, LAWRENCEVILLE, GA 30043
(404) 431-9670
(404) 410-6581
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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