Individual
GARY K ISKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
747 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4317
(770) 995-0538
Mailing address
641 E MORNINGSIDE DR NE, ATLANTA, GA 30324-5218
(404) 892-5353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9877
GA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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