Provider Demographics
NPI:1861653628
Name:LENOX POINTE AESTHETICS
Entity Type:Organization
Organization Name:LENOX POINTE AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-262-9600
Mailing Address - Street 1:700 MOROSGO DR NE
Mailing Address - Street 2:SUITE J-100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3524
Mailing Address - Country:US
Mailing Address - Phone:404-262-9600
Mailing Address - Fax:404-233-9470
Practice Address - Street 1:700 MOROSGO DR NE
Practice Address - Street 2:SUITE J-100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3524
Practice Address - Country:US
Practice Address - Phone:404-262-9600
Practice Address - Fax:404-233-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty