NPI 1063095842

Evolution Dental Surgery and Aesthetic Centers

Organisation Dentist Duluth, GA

Practice location

Address: 3775 Venture Dr STE 101, Duluth, GA 30096-5102
Phone: (470) 387-0385
Fax: (678) 550-4999

Authorised official

Name: Amy Camba
Title: Prosthodontist
Phone: (706) 951-3147

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1063095842
Entity type: Organization
NPI issued: 30 Apr 2021
Record last updated: 30 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.