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1720303480
OPTIMA DENTAL PC
LAWRENCEVILLE, GA
NPI
1720303480
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Entity Type
Organization
Authorized Contact
ISIOMA ANIZOR
Officer
770-962-4322
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2010-04-06
Last Update Date
2010-04-06
Business Address
OPTIMA DENTAL PC
4825 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044-8800
Phone number: 770-962-4322
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Mailing Address
OPTIMA DENTAL PC
4825 SUGARLOAF PKWY STE A
LAWRENCEVILLE, GA 30044-8800
Phone number: 770-962-4322
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