Dawsonville Distinctive Dentistry | |
754 Hwy 53 W Dawsonville GA 30534 | |
(706) 265-2505 | |
(706) 265-6007 |
Full Name | Dawsonville Distinctive Dentistry |
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Speciality | Dentist - General Practice |
Location | 754 Hwy 53 W, Dawsonville, Georgia |
Authorized Official Name and Position | Bilal Manzur (OFFICER) |
Authorized Official Contact | 7062652505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dawsonville Distinctive Dentistry P.o. Box 182 Dawsonville GA 30534 Ph: (706) 265-2505 | Dawsonville Distinctive Dentistry 754 Hwy 53 W Dawsonville GA 30534 Ph: (706) 265-2505 |
NPI Number | 1497774038 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 06/10/2015 |
Identifier | Type | State | Issuer |
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1497774038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN014918 (Georgia) | Secondary |
1223G0001X | Dentist - General Practice | DN014918 (* (Not Available)) | Primary |
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