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1326340407
JOHN IACULLI
WOODSTOCK, GA
NPI
1326340407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA DN014111)
Enumeration Date
2010-11-23
Last Update Date
2010-11-23
Business Address
-- JOHN IACULLI DDS
2230 TOWNE LAKE PKWY BUILDING 1100, STE 100
WOODSTOCK, GA 30189-5540
Phone number: 678-445-9191
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Mailing Address
-- JOHN IACULLI DDS
PO BOX 195
WOODSTOCK, GA 30188-0195
Phone number: 678-445-9191
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