| Bhullar Dental Group,pc | |
|
1216 Aviation Blvd Suite#101 Gainesville GA 30501-6848 | |
| (770) 718-9091 | |
| Not Available |
| Full Name | Bhullar Dental Group,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1216 Aviation Blvd, Gainesville, Georgia |
| Authorized Official Name and Position | Randeep Singh Bhullar (PRESIDENT) |
| Authorized Official Contact | 7707189091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhullar Dental Group,pc 1216 Aviation Blvd Suite#101 Gainesville GA 30501-6848 Ph: (770) 718-9091 | Bhullar Dental Group,pc 1216 Aviation Blvd Suite#101 Gainesville GA 30501-6848 Ph: (770) 718-9091 |
| NPI Number | 1891943346 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891943346 | NPI | - | NPPES |
| 112965 | Other | GA | DORAL DENTAL |
| 549522689N | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012628 (Georgia) | Primary |
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