Organization
LIFETIME DENTISTRY
Active
Other names
Lifetime Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA PHILLIPS RDH (PRACTICE MANAGER)
(770) 674-0226
Entity
Organization
Contact information
Practice address
3921 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024-1219
(770) 674-0226
(770) 807-1671
Mailing address
3921 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024-1219
(770) 674-0226
(770) 807-1671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN01285
GA
Other
Enumeration date
04/23/2015
Last updated
01/25/2016
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