| Cornerstone Dentsitry; Pc | |
|
2463 Hamilton Mill Pkwy 240 Dacula GA 30019-4648 | |
| (770) 932-6510 | |
| Not Available |
| Full Name | Cornerstone Dentsitry; Pc |
|---|---|
| Speciality | Dentist |
| Location | 2463 Hamilton Mill Pkwy, Dacula, Georgia |
| Authorized Official Name and Position | Edward D Mcdonald (PRESIDENT/CEO) |
| Authorized Official Contact | 7709326510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dentsitry; Pc 2463 Hamilton Mill Pkwy 240 Dacula GA 30019-4648 Ph: (770) 932-6510 | Cornerstone Dentsitry; Pc 2463 Hamilton Mill Pkwy 240 Dacula GA 30019-4648 Ph: (770) 932-6510 |
| NPI Number | 1558664227 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664227 | NPI | - | NPPES |
| 847469223C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013829 (Georgia) | Primary |
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