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1346389814
LAKESHORE MALL DENTAL GROUP
GAINESVILLE, GA
NPI
1346389814
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Entity Type
Organization
Authorized Contact
THERESA CHATHAM
Dist Manager
770-536-1957
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-02-05
Last Update Date
2020-08-22
Business Address
LAKESHORE MALL DENTAL GROUP
150 PEARL NIX PKWY SUITE B10
GAINESVILLE, GA 30501-3548
Phone number: 770-536-1957
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Mailing Address
LAKESHORE MALL DENTAL GROUP
150 PEARL NIX PKWY SUITE B10
GAINESVILLE, GA 30501-3548
Phone number: 770-536-1957
Copy
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