JOHN IACULLI

WOODSTOCK, GA
NPI1326340407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  DN014111)
Enumeration Date2010-11-23
Last Update Date2010-11-23
Business Address
-- JOHN IACULLI DDS
2230 TOWNE LAKE PKWY BUILDING 1100, STE 100
WOODSTOCK, GA 30189-5540
Phone number: 678-445-9191
Mailing Address
-- JOHN IACULLI DDS
PO BOX 195
WOODSTOCK, GA 30188-0195
Phone number: 678-445-9191