| Dba Fountain View Dentistry | |
|
1816 Eagle Drive Building 200-a Woodstock GA 30189 | |
| (770) 926-0000 | |
| Not Available |
| Full Name | Dba Fountain View Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1816 Eagle Drive, Woodstock, Georgia |
| Authorized Official Name and Position | Laura C. Koch (OWNER) |
| Authorized Official Contact | 6784284058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Fountain View Dentistry 1816 Eagle Drive Building 200-a Woodstock GA 30189 Ph: (770) 926-0000 | Dba Fountain View Dentistry 1816 Eagle Drive Building 200-a Woodstock GA 30189 Ph: (770) 926-0000 |
| NPI Number | 1780101659 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780101659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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