Individual
DR. LAUREN LEE POLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1233 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4542
(770) 461-6465
(770) 461-2888
Mailing address
1233 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4542
(770) 461-6465
(770) 461-2888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202137
CO
122300000X
Dentist
DD4474
NM
122300000X
Dentist
Primary
DN014262
GA
Other
Enumeration date
10/14/2011
Last updated
02/02/2021
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