Organization
AMA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DUVAL N/A DUVAL DDS (DENTIST)
(615) 275-6669
Entity
Organization
Contact information
Practice address
3370 SUGARLOAF PKWY STE G8, LAWRENCEVILLE, GA 30044-5486
(615) 275-6669
Mailing address
3370 SUGARLOAF PKWY STE G8, LAWRENCEVILLE, GA 30044-5486
(615) 275-6669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346491636
—
TN
Enumeration date
02/05/2020
Last updated
02/05/2020
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