LINCOLN ROBERT FANTASKI

MARIETTA, GA
NPI1366003519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN015906)
Enumeration Date2019-06-27
Last Update Date2019-07-01
Business Address
Dr. LINCOLN ROBERT FANTASKI DMD
3698 LARGENT WAY NW STE 202
MARIETTA, GA 30064-5923
Phone number: 770-423-4900
Mailing Address
Dr. LINCOLN ROBERT FANTASKI DMD
3698 LARGENT WAY NW STE 202
MARIETTA, GA 30064-5923
Phone number:
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