Organization
SPOTLIGHT FAMILY DENTAL LLC
Active
Other names
SPOTLIGHT DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVE JOSEPH PELUSO III DMD (MANAGING MEMBER)
(404) 405-7756
Entity
Organization
Contact information
Practice address
980 SANDERS RD, SUITE 200, CUMMING, GA 30041-5977
(770) 205-3111
(770) 205-3311
Mailing address
980 SANDERS ROAD, SUITE 200, CUMMING, GA 30041-5977
(770) 205-3111
(770) 205-3311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011882
GA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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