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1346322989
LILBURN DENTAL GROUP, L.L.C.
LILBURN, GA
NPI
1346322989
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Entity Type
Organization
Authorized Contact
RICHARD GANGWISCH
Member
770-923-3966
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-10-20
Last Update Date
2020-08-22
Business Address
LILBURN DENTAL GROUP, L.L.C.
912 KILLIAN HILL RD SW SUITE 100
LILBURN, GA 30047-3138
Phone number: 770-923-3966
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Mailing Address
LILBURN DENTAL GROUP, L.L.C.
912 KILLIAN HILL RD SW SUITE 100
LILBURN, GA 30047-3138
Phone number: 770-923-3966
Copy
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