Organization
LANIER DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D WITHCER DDS (DENTIST OWNER)
(770) 535-8900
Entity
Organization
Contact information
Practice address
819 THOMPSON BRIDGE ROAD, GAINESVILLE, GA 30501
(770) 535-8900
(770) 535-8108
Mailing address
819 THOMPSON BRIDGE ROAD, GAINESVILLE, GA 30501
(770) 535-8900
(770) 535-8108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9608
GA
122300000X
Dentist
DN0009359
FL
Other
Enumeration date
12/06/2006
Last updated
09/27/2012
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