Organization
LILBURN DENTISTRY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINAL PATEL (ADMINISTRATOR)
(770) 718-8151
Entity
Organization
Contact information
Practice address
375 ROCKBRIDGE RD NW STE 164, LILBURN, GA 30047-5870
(770) 921-7047
Mailing address
1082 MOORES MILL RD NW, ATLANTA, GA 30327-1644
(770) 718-8151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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