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1235589995
LAKE LANIER SMILES
BUFORD, GA
NPI
1235589995
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Entity Type
Organization
Authorized Contact
PRAVEEN GUDIPATI
Dentist/Owner
404-966-7766
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
LAKE LANIER SMILES
4965 LANIER ISLANDS PKWY SUITE 105
BUFORD, GA 30518-1700
Phone number: 770-831-0559
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Mailing Address
LAKE LANIER SMILES
4965 LANIER ISLANDS PKWY SUITE 105
BUFORD, GA 30518-1700
Phone number: 770-831-0559
Copy
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