Individual
DANIEL OBREGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 LAWRENCEVILLE HWY STE 700, LAWRENCEVILLE, GA 30044-2029
(770) 682-7404
Mailing address
836 RIVER ROSE POINTE, DACULA, GA 30019-1375
(770) 533-1111
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002689
GA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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