Provider First Line Business Practice Location Address:
3290 BUFORD DR
Provider Second Line Business Practice Location Address:
DENTFIRST DENTAL CARE MALL OF GEORGIA
Provider Business Practice Location Address City Name:
BUFORD
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-546-3700
Provider Business Practice Location Address Fax Number:
678-546-3700
Provider Enumeration Date:
12/28/2006