| Bespoke Dental Llc | |
|
2201 Newnan Crossing Blvd E Ste 202 Newnan GA 30265-2551 | |
| (678) 552-4904 | |
| (678) 552-4905 |
| Full Name | Bespoke Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2201 Newnan Crossing Blvd E Ste 202, Newnan, Georgia |
| Authorized Official Name and Position | Cindy Rask (OWNER) |
| Authorized Official Contact | 6785524904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Dental Llc 2201 Newnan Crossing Blvd E Ste 202 Newnan GA 30265-2551 Ph: (678) 552-4904 | Bespoke Dental Llc 2201 Newnan Crossing Blvd E Ste 202 Newnan GA 30265-2551 Ph: (678) 552-4904 |
| NPI Number | 1326897802 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326897802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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