Individual
RON CHEMMALAKUZHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
780 SCENIC HWY, LAWRENCEVILLE, GA 30046-6365
(678) 215-1300
Mailing address
780 SCENIC HWY, LAWRENCEVILLE, GA 30046-6365
(678) 215-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123184
GA
Other
Enumeration date
08/09/2023
Last updated
03/19/2026
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