Organization
GA PROSTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA YEFRUSI RDH (MANAGER)
(770) 381-9333
Entity
Organization
Contact information
Practice address
6320 SUGARLOAF PKWY, DULUTH, GA 30097-4334
(770) 381-9333
Mailing address
6320 SUGARLOAF PKWY, DULUTH, GA 30097-4334
(770) 381-9333
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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