Individual
DR. LORI E. PASCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 W CHASON ST, DONALSONVILLE, GA 39845-1284
(404) 971-2811
Mailing address
PO BOX 519, FAIRBURN, GA 30213-0519
(404) 971-2811
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN011741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753871
—
GA
01
—
DN011741
STATE DENTAL LICENSE
GA
Enumeration date
12/22/2006
Last updated
11/28/2012
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