Lakeshore Mall Dental Group
Lakeshore Mall Dental Group is a General Practice Dentistry in Gainesville, Georgia. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
150 Pearl Nix Pkwy Ste B10Gainesville, GA 30501-3548
Phone: (770) 536-1957
Fax: (770) 536-3582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1346389814 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresa Chatham — Dist Manager · (770) 536-1957 |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 150 Pearl Nix Pkwy, Suite B10, Gainesville, GA 30501-3548 |
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