Balance Advanced Dentistry & Orthodontics Gwinnett Llc | |
3705 Old Norcross Rd Ste 300 Duluth GA 30096-4336 | |
(770) 813-0777 | |
(770) 813-1023 |
Full Name | Balance Advanced Dentistry & Orthodontics Gwinnett Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3705 Old Norcross Rd Ste 300, Duluth, Georgia |
Authorized Official Name and Position | Juan Hernandez (OWNER) |
Authorized Official Contact | 3472284321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Balance Advanced Dentistry & Orthodontics Gwinnett Llc 3705 Old Norcross Rd Ste 300 Duluth GA 30096-4336 Ph: (770) 813-0777 | Balance Advanced Dentistry & Orthodontics Gwinnett Llc 3705 Old Norcross Rd Ste 300 Duluth GA 30096-4336 Ph: (770) 813-0777 |
NPI Number | 1972200509 |
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Provider Enumeration Date | 02/14/2023 |
Last Update Date | 02/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972200509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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