Organization
ISKOL & FISK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY K ISKOL DDS (DOCTOR)
(770) 995-0538
Entity
Organization
Contact information
Practice address
747 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 995-0538
(770) 962-3245
Mailing address
747 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 995-0538
(770) 962-3245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009877
GA
1223G0001X
General Practice Dentistry
DN014058
GA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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