Organization
GWINNETT FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELL D. GALLAHER DMD (OWNER)
(770) 921-1115
Entity
Organization
Contact information
Practice address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
(770) 921-1115
(770) 564-3856
Mailing address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
(770) 921-1115
(770) 564-3856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GA11839
GA
Other
Enumeration date
04/29/2008
Last updated
04/30/2008
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