| NPI | 1215337951 |
|---|---|
| Doing Business As | LAKE LANIER COSTMETIC INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SALLY EVANS Owner 407-340-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DNO13552) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2014-08-31 |