Dunwoody Northeast Dentistry, Llc | |
4675 N Shallowford Rd Suite #118 Atlanta GA 30338-6309 | |
(770) 452-0222 | |
Not Available |
Full Name | Dunwoody Northeast Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | 4675 N Shallowford Rd, Atlanta, Georgia |
Authorized Official Name and Position | Janice Chaw (MEMBER) |
Authorized Official Contact | 4107098618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dunwoody Northeast Dentistry, Llc 7350 Talbot Colony Atlanta GA 30328-1625 Ph: (410) 709-8618 | Dunwoody Northeast Dentistry, Llc 4675 N Shallowford Rd Suite #118 Atlanta GA 30338-6309 Ph: (770) 452-0222 |
NPI Number | 1225435001 |
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Provider Enumeration Date | 11/22/2014 |
Last Update Date | 11/22/2014 |
Identifier | Type | State | Issuer |
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1225435001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN014380 (Georgia) | Primary |
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