Organization
LAWRENCEVILLE FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S MANSOURI DMD (PRESIDENT/DENTIST)
(770) 962-0014
Entity
Organization
Contact information
Practice address
2401 LAWRENCEVILLE HWY STE A, LAWRENCEVILLE, GA 30044-4411
(770) 962-1977
(770) 962-9886
Mailing address
2401 LAWRENCEVILLE HWY STE A, LAWRENCEVILLE, GA 30044-4411
(770) 962-1977
(770) 962-9886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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