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1194862896
MICHAEL S MANSOURI
LAWRENCEVILLE, GA
NPI
1194862896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012848)
Enumeration Date
2007-01-31
Last Update Date
2008-04-11
Business Address
Dr. MICHAEL S MANSOURI DMD
2401 LAWRENCEVILLE HWY STE A
LAWRENCEVILLE, GA 30044-4411
Phone number: 770-962-0014
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Mailing Address
Dr. MICHAEL S MANSOURI DMD
2401 LAWRENCEVILLE HWY STE A
LAWRENCEVILLE, GA 30044-4411
Phone number: 770-962-0014
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