Organization
ZOOM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE NA (DENTIST)
(770) 921-9000
Entity
Organization
Contact information
Practice address
4574 LAWRENCEVILLE HWY NW STE 120, LILBURN, GA 30047-3605
(770) 921-9000
(770) 931-7704
Mailing address
4574 LAWRENCEVILLE HWY NW STE 120, LILBURN, GA 30047-3605
(770) 921-9000
(770) 931-7704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN014407
GA
1223G0001X
General Practice Dentistry
Primary
DN10984
GA
1223P0221X
Pediatric Dentistry
DN013700
GA
1223P0300X
Periodontics
DN013014
GA
Other
Enumeration date
07/11/2012
Last updated
01/11/2013
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