Organization
SOUTHERN SMILES LAWRENCEVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN H ADLER (PARTNER)
(404) 784-8659
Entity
Organization
Contact information
Practice address
2401 LAWRENCEVILLE HWY STE A, LAWRENCEVILLE, GA 30044-4669
(678) 909-1970
Mailing address
2401 LAWRENCEVILLE HWY STE A, LAWRENCEVILLE, GA 30044-4669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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