| Dawsonville Distinctive Dentistry | |
|
754 Highway 53 W Dawsonville GA 30534-3411 | |
| (706) 265-2505 | |
| Not Available |
| Full Name | Dawsonville Distinctive Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 754 Highway 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 |
|---|---|
| Dawsonville Distinctive Dentistry 754 Highway 53 W Dawsonville GA 30534-3411 Ph: () - | Dawsonville Distinctive Dentistry 754 Highway 53 W Dawsonville GA 30534-3411 Ph: (706) 265-2505 |
| NPI Number | 1770976763 |
|---|---|
| Provider Enumeration Date | 03/14/2015 |
| Last Update Date | 03/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770976763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN014918 (Georgia) | Primary |
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