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1699746503
STACEY LYLE ZUCK
LAWRENCEVILLE, GA
NPI
1699746503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA DN031444)
Enumeration Date
2006-01-30
Last Update Date
2008-11-25
Business Address
Dr. STACEY LYLE ZUCK D.M.D., M.D.
945 RIVER CENTRE PL SUITE 100
LAWRENCEVILLE, GA 30043-7340
Phone number: 770-995-7960
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Mailing Address
Dr. STACEY LYLE ZUCK D.M.D., M.D.
945 RIVER CENTRE PL SUITE 100
LAWRENCEVILLE, GA 30043-7340
Phone number: 770-995-7960
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