Organization
DORFZAUN EYE GROUP,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDER S DORFZAUN O.D. (OWNER/OPTOMETRIST)
(770) 422-3677
Entity
Organization
Contact information
Practice address
850 OLD PIEDMONT RD, MARIETTA, GA 30066-5490
(770) 422-3677
(770) 422-5814
Mailing address
850 OLD PIEDMONT RD, MARIETTA, GA 30066-5490
(770) 422-3677
(770) 422-5814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA754
GA
Other
Enumeration date
11/05/2013
Last updated
08/11/2015
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