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Organization

EAST CROGAN DENTAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIE DOMINIQUE SATURNE DMD (OWNER)
(678) 407-2803
Entity
Organization

Contact information

Practice address
168 E CROGAN ST, LAWRENCEVILLE, GA 30046-4950
(678) 407-2803
Mailing address
PO BOX 1173, LAWRENCEVILLE, GA 30046-1173
(678) 407-2803

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013248
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
856863952A
GA
Enumeration date
05/20/2015
Last updated
05/20/2015
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