STACEY LYLE ZUCK

LAWRENCEVILLE, GA
NPI1699746503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA  DN031444)
Enumeration Date2006-01-30
Last Update Date2008-11-25
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
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