Organization
DULUTH DENTAL GROUP
Active
Other names
Duluth Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALISSA N GIANFALA (OFFICE MANAGER)
(770) 377-0472
Entity
Organization
Contact information
Practice address
3500 DULUTH PARK LN #100, DULUTH, GA 30096
(770) 476-3332
Mailing address
3500 DULUTH PARK LN #100, DULUTH, GA 30096
(770) 476-3332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
10/13/2021
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