East West Family Dental | |
2495 East-west Connector Ste 60 Austell GA 30106 | |
(678) 384-1020 | |
Not Available |
Full Name | East West Family Dental |
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Speciality | Clinic/center - Dental |
Location | 2495 East-west Connector, Austell, Georgia |
Authorized Official Name and Position | Teresa Tard (BUSINESS MANAGER) |
Authorized Official Contact | 6783841020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East West Family Dental 2495 East-west Connector Ste 60 Austell GA 30106 Ph: (678) 384-1020 | East West Family Dental 2495 East-west Connector Ste 60 Austell GA 30106 Ph: (678) 384-1020 |
NPI Number | 1245779792 |
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Provider Enumeration Date | 02/16/2017 |
Last Update Date | 02/16/2017 |
Identifier | Type | State | Issuer |
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1245779792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN013527 (Georgia) | Primary |
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