Contemporary Dentistry | |
7760 Hampton Pl Building 6 Loganville GA 30052-6770 | |
(678) 639-0080 | |
(678) 639-0088 |
Full Name | Contemporary Dentistry |
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Speciality | Clinic/center - Dental |
Location | 7760 Hampton Pl, Loganville, Georgia |
Authorized Official Name and Position | Magualie Joseph Woollery (OWNER) |
Authorized Official Contact | 6786390080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Contemporary Dentistry 7760 Hampton Pl Building 6 Loganville GA 30052-6770 Ph: (678) 639-0080 | Contemporary Dentistry 7760 Hampton Pl Building 6 Loganville GA 30052-6770 Ph: (678) 639-0080 |
NPI Number | 1023135738 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 06/09/2012 |
Identifier | Type | State | Issuer |
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1023135738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN012142 (Georgia) | Primary |
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