| Brian A Bain Dds Iii Pc | |
|
514 W Bankhead Hwy Suite 600 Villa Rica GA 30180-1736 | |
| (770) 456-2550 | |
| Not Available |
| Full Name | Brian A Bain Dds Iii Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 514 W Bankhead Hwy, Villa Rica, Georgia |
| Authorized Official Name and Position | Brian Alexander Bain (OWNER) |
| Authorized Official Contact | 7702585516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A Bain Dds Iii Pc 429 Mitchell Ave Bowdon GA 30108-1405 Ph: (770) 258-5516 | Brian A Bain Dds Iii Pc 514 W Bankhead Hwy Suite 600 Villa Rica GA 30180-1736 Ph: (770) 456-2550 |
| NPI Number | 1972967024 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972967024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN014278 (Georgia) | Primary |
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Fredric A Moore Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 W Bankhead Hwy, Suite 600, Villa Rica, GA 30180 Phone: 770-456-2550 Fax: 770-456-7680 | |
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