LAKE LANIER SMILES

BUFORD, GA
NPI1235589995
Entity TypeOrganization
Authorized ContactPRAVEEN GUDIPATI
Dentist/Owner
404-966-7766
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2016-06-14
Last Update Date2016-06-14
Business Address
LAKE LANIER SMILES
4965 LANIER ISLANDS PKWY SUITE 105
BUFORD, GA 30518-1700
Phone number: 770-831-0559
Mailing Address
LAKE LANIER SMILES
4965 LANIER ISLANDS PKWY SUITE 105
BUFORD, GA 30518-1700
Phone number: 770-831-0559