Individual
DR. RANDY EARL MUCCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6300 HOSPITAL PKWY, SUITE 275, JOHNS CREEK, GA 30097-1828
(678) 389-9955
(678) 389-9952
Mailing address
6300 HOSPITAL PARKWAY, SUITE 275, MUCCIOLI DENTAL, JOHNS CREEK, GA 30097
(678) 389-9955
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN014379
GA
Other
Enumeration date
01/13/2006
Last updated
01/22/2013
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