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NPI Code Detail

MEDICARE: DENTAL OFFICES OF SAMUEL E. TOURIAL, D.D.S., P.C.

MEDICARE: DENTAL OFFICES OF SAMUEL E. TOURIAL, D.D.S., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN010183GA

General Provider Information

NPI Number : 1790954550
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL OFFICES OF SAMUEL E. TOURIAL, D.D.S., P.C.
Provider Business Mailing Address
First Line : 603 OLD NORCROSS RD STE B
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30045-4315
Country : US
Telephone Number : 770-277-3880
Fax Number : 770-277-5991
Provider Business Practice Location Address
First Line : 603 OLD NORCROSS RD STE B
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30045-4315
Country : US
Telephone Number : 770-277-3880
Fax Number : 770-277-5991
Authorized Official
Title or Position : PRESIDENT
Name : DR. SAMUEL E. TOURIAL
Credential : D.D.S.
Telephone Number : 770-277-3880
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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Directions to “DENTAL OFFICES OF SAMUEL E. TOURIAL, D.D.S., P.C. ” Practice Location

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