| Dreamsmile Of Norcross | |
|
4720 Peachtree Industrial Blvd Ste 302 Berkeley Lake GA 30071-5736 | |
| (770) 449-1497 | |
| Not Available |
| Full Name | Dreamsmile Of Norcross |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4720 Peachtree Industrial Blvd Ste 302, Berkeley Lake, Georgia |
| Authorized Official Name and Position | Wanda Febo-cuello (DENTIST/ OWNER) |
| Authorized Official Contact | 6173085088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dreamsmile Of Norcross 2080 Arbor Ridge Ln Cumming GA 30040-5304 Ph: (617) 308-5088 | Dreamsmile Of Norcross 4720 Peachtree Industrial Blvd Ste 302 Berkeley Lake GA 30071-5736 Ph: (770) 449-1497 |
| NPI Number | 1720503709 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 08/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720503709 | NPI | - | NPPES |
| 12135222134 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014982 (Georgia) | Primary |
Snow White Smiles, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Peachtree Industrial Blvd, 302, Berkeley Lake, GA 30071 Phone: 404-583-3090 |