Individual
MR. MICHAEL SCOTT BARTRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2003 RIVERSIDE PKWY, SUITE 104, LAWRENCEVILLE, GA 30043-5939
(770) 822-3400
(770) 995-5772
Mailing address
2003 RIVERSIDE PKWY, SUITE 104, LAWRENCEVILLE, GA 30043-5939
(770) 822-3400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012389
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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