Michael Mansouri, DMD
NPI 1194862896 · on the registry since 2007
Practice
- Address
- 2401 Lawrenceville Hwy Ste A
Lawrenceville, GA 30044 - Phone
- (770) 962-0014
- Fax
- (770) 962-9886
- Organisation at this address
- Evercreek Dental Pc
Mansouri Dental Care Pc
Southern Smiles Lawrenceville Pc
Lawrenceville Family Dental Care, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia