| NPI | 1033843263 |
|---|---|
| Doing Business As | DENTIST IN LAWRENCEVILLE |
| Entity Type | Organization |
| Authorized Contact | SREEKANTH REDDY EMANI Manager 803-233-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |