Individual
DR. JEFFREY GLENN PRILUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5548 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338
(770) 393-9450
(770) 392-0647
Mailing address
5548 CHAMBLEE DUNWOODY RD, DUNWOODY, GA 30338
(770) 393-9450
(770) 392-0647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8214
GA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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