| Belvedere Plaza Dental | |
|
3521 Memorial Dr Suite A Decatur GA 30032-2731 | |
| (404) 567-8485 | |
| (404) 941-7719 |
| Full Name | Belvedere Plaza Dental |
|---|---|
| Speciality | Dentist |
| Location | 3521 Memorial Dr, Decatur, Georgia |
| Authorized Official Name and Position | Abbas Haider (PRESIDENT/DENTIST) |
| Authorized Official Contact | 4045678485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belvedere Plaza Dental 3521 Memorial Dr Suite A Decatur GA 30032-2731 Ph: (404) 567-8485 | Belvedere Plaza Dental 3521 Memorial Dr Suite A Decatur GA 30032-2731 Ph: (404) 567-8485 |
| NPI Number | 1952776171 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952776171 | NPI | - | NPPES |
| 433919119A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11863 (Georgia) | Primary |
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