SLADE WALLACE LAIL

DULUTH, GA
NPI1902997109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  11701)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
Dr. SLADE WALLACE LAIL D.D.S.
3415 DULUTH HIGHWAY 120
DULUTH, GA 30096-3354
Phone number: 770-476-2400
Mailing Address
Dr. SLADE WALLACE LAIL D.D.S.
3415 DULUTH HIGHWAY 120
DULUTH, GA 30096-3354
Phone number: 770-476-2400
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