GANGWISCH DENTAL GROUP, L.L.C.

LILBURN, GA
NPI1588849186
Entity TypeOrganization
Authorized ContactRICHARD GANGWISCH
Member
770-923-3966
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN008859)
Enumeration Date2008-01-02
Last Update Date2008-01-02
Business Address
GANGWISCH DENTAL GROUP, L.L.C.
912 KILLIAN HILL RD SW SUITE 100
LILBURN, GA 30047-3138
Phone number: 770-923-3966
Mailing Address
GANGWISCH DENTAL GROUP, L.L.C.
912 KILLIAN HILL RD SW SUITE 100
LILBURN, GA 30047-3138
Phone number: 770-923-3966