Organization
DENTAL CARE CENTER OF DECATUR LLC
Active
Other names
Lynn Livingston Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN ALLEN LIVINGSTON JR. DDS (CEO)
(770) 939-9779
Entity
Organization
Contact information
Practice address
2530 LAWRENCEVILLE HWY, DECATUR, GA 30033
(770) 939-9779
(770) 939-2393
Mailing address
2530 LAWRENCEVILLE HWY, DECATUR, GA 30033
(770) 939-9779
(770) 939-2393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012830
GA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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