Individual
DR. LANA LVOVNA MAMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3130 MATHIS AIRPORT PKWY, STE 309, SUWANEE, GA 30024-9131
(404) 579-0519
Mailing address
3130 MATHIS AIRPORT PKWY, STE 309, SUWANEE, GA 30024-9131
(404) 579-0519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012943
GA
Other
Enumeration date
02/19/2008
Last updated
12/01/2009
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