Organization
BELLA OTTICA LLC
Active
Other names
Eyes on Towne Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER DATTOLO OD (OPTOMETRIST/PARTNER)
(770) 702-5996
Entity
Organization
Contact information
Practice address
1075 BUCKHEAD XING, SUITE 130, WOODSTOCK, GA 30189-4262
(770) 702-5996
Mailing address
1075 BUCKHEAD XING, SUITE 130, WOODSTOCK, GA 30189-4262
(770) 702-5996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001878
GA
Other
Enumeration date
06/09/2016
Last updated
08/29/2016
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