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Lana L. Mamut, Dmd, Pc
Dental Clinic/Center in Suwanee, Georgia
NPI 1437487550

Lana L. Mamut, Dmd, Pc is a Dental Clinic/Center based in Suwanee, GA and is specialized in Dental. Lana L. Mamut, Dmd, Pc practices in Suwanee, GA. The NPI Number for Lana L. Mamut, Dmd, Pc is 1437487550 and holds a License No. DN012943 (Georgia).

The current practice location address for Lana L. Mamut, Dmd, Pc is 3130 Mathis Airport Pkwy, Suwanee, GA and can be reached out via phone at 404-579-0519.

Location: 3130 Mathis Airport Pkwy, Suwanee, GA, 30024-9131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437487550
Provider Name
Lana L. Mamut, Dmd, Pc
Credential
Provider Entity Type
Organization
Address
3130 Mathis Airport Pkwy, Suwanee, GA, 30024-9131
Phone Number
404-579-0519
Fax Number
Provider Enumeration Date
12/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3130 Mathis Airport Pkwy
City
Suwanee
State
Georgia
Zip
30024-9131
Phone Number
404-579-0519
Fax Number
person
Provider Business Mailing Address Details
Address
3130 Mathis Airport Pkwy
City
Suwanee
State
Georgia
Zip
30024-9131
Phone Number
404-579-0519
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN012943 (Georgia)
Definition
Definition to come...
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