Individual
DR. ANDREW LEE MCCANLESS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5635 PEACHTREE PKWY, SUITE 240, NORCROSS, GA 30092-2812
(770) 448-1977
Mailing address
2805 PEACHTREE INDUSTRIAL BLVD, STE 113, DULUTH, GA 30097-8170
(770) 476-2252
(770) 476-3798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9647
GA
Other
Enumeration date
10/04/2006
Last updated
02/25/2016
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