Organization
LILBURN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA EWOMACK (OFFICE MANGAGER)
(770) 638-8090
Entity
Organization
Contact information
Practice address
4145 LAWRENCEVILLE HWY NW, STE 5, LILBURN, GA 30047-2807
(770) 638-8090
(770) 638-8144
Mailing address
4145 LAWRENCEVILLE HWY NW, STE 5, LILBURN, GA 30047-2807
(770) 638-8090
(770) 638-8144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012698
GA
Other
Enumeration date
01/30/2007
Last updated
08/13/2008
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