| Bgw Dental Group | |
|
1205 Friendship Road Braselton GA 30517 | |
| (770) 532-4555 | |
| (770) 536-8053 |
| Full Name | Bgw Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 Friendship Road, Braselton, Georgia |
| Authorized Official Name and Position | Ann Sorensen (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7705324555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bgw Dental Group 1215 Vine St Ne Gainesville GA 30501-2535 Ph: (770) 532-4555 | Bgw Dental Group 1205 Friendship Road Braselton GA 30517 Ph: (770) 532-4555 |
| NPI Number | 1063904076 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063904076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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