Organization
M FOREST BUTLER DDS MS PC
Active
Other names
Gwinnett Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON FOREST BUTLER DDS (OWNER)
(770) 921-3555
Entity
Organization
Contact information
Practice address
320 KILLIAN HILL RD NW, LILBURN, GA 30047-3809
(770) 921-3555
(770) 564-2244
Mailing address
320 KILLIAN HILL RD NW, LILBURN, GA 30047-3809
(770) 921-3555
(770) 564-2244
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7999
GA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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