Individual
ALEIDA FROMETA-PREVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A.
Contact information
Practice address
609 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3401
(770) 925-3300
(770) 925-3302
Mailing address
4262 JODY LN NW, LILBURN, GA 30047-3426
(770) 923-5331
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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