| Bella Cosmetic And Family Dentistry | |
|
4574 Lawrenceville Hwy Nw Suite 120 Lilburn GA 30047-3647 | |
| (770) 921-9000 | |
| Not Available |
| Full Name | Bella Cosmetic And Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4574 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Roderick S Cooper (OWNER) |
| Authorized Official Contact | 7709219000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Cosmetic And Family Dentistry 4574 Lawrenceville Hwy Nw Suite 120 Lilburn GA 30047-3647 Ph: (770) 921-9000 | Bella Cosmetic And Family Dentistry 4574 Lawrenceville Hwy Nw Suite 120 Lilburn GA 30047-3647 Ph: (770) 921-9000 |
| NPI Number | 1154743136 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154743136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DNO13198 (Georgia) | Primary |
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