DORIAN GRACE LONGSHORE

LOGANVILLE, GA
NPI1104355395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN015430)
Enumeration Date2017-06-09
Last Update Date2017-06-09
Business Address
DORIAN GRACE LONGSHORE DMD
4799 ATLANTA HWY # 500
LOGANVILLE, GA 30052-7307
Phone number: 404-609-4661
Mailing Address
DORIAN GRACE LONGSHORE DMD
1746 HOLMES DR SW
CONYERS, GA 30094-4726
Phone number: 470-255-4855