Individual
DR. ELIZABETH LYNETT SALLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
715 QUEEN CITY PKWY, STE 101, GAINESVILLE, GA 30501-4358
(770) 297-8900
(770) 297-8992
Mailing address
2887 FLORENCE DR, GAINESVILLE, GA 30504-5675
(770) 718-1829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00333165H
—
GA
Enumeration date
07/07/2005
Last updated
07/08/2007
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