| Bm Dental Pc | |
|
1110 Talus St Ste 100 Bogart GA 30622-2017 | |
| (770) 725-7377 | |
| (770) 725-7176 |
| Full Name | Bm Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1110 Talus St Ste 100, Bogart, Georgia |
| Authorized Official Name and Position | Bum Mo Chung (PRESIDENT) |
| Authorized Official Contact | 7707257377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bm Dental Pc 1110 Talus St Ste 100 Bogart GA 30622-2017 Ph: (770) 725-7377 | Bm Dental Pc 1110 Talus St Ste 100 Bogart GA 30622-2017 Ph: (770) 725-7377 |
| NPI Number | 1750801718 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750801718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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