| Avenue Dental Llc | |
|
983 Peachtree Parkway Suite C Cumming GA 30041 | |
| (770) 888-4444 | |
| (770) 888-4448 |
| Full Name | Avenue Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 983 Peachtree Parkway Suite C, Cumming, Georgia |
| Authorized Official Name and Position | Mouhannad Budeir (OFFICER) |
| Authorized Official Contact | 7708884444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Dental Llc 983 Peachtree Parkway Suite C Cumming GA 30041 Ph: (770) 888-4444 | Avenue Dental Llc 983 Peachtree Parkway Suite C Cumming GA 30041 Ph: (770) 888-4444 |
| NPI Number | 1609918622 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609918622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013053 (Georgia) | Primary |
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