| Freedom 11, Llc | |
|
3840 Peachtree Industrial Blvd 320 Duluth GA 30096 | |
| (770) 670-6555 | |
| Not Available |
| Full Name | Freedom 11, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3840 Peachtree Industrial Blvd, Duluth, Georgia |
| Authorized Official Name and Position | Michael Reznik (OWNER) |
| Authorized Official Contact | 4043070358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom 11, Llc 3840 Peachtree Industrial Blvd 320 Duluth GA 30096 Ph: (770) 670-6555 | Freedom 11, Llc 3840 Peachtree Industrial Blvd 320 Duluth GA 30096 Ph: (770) 670-6555 |
| NPI Number | 1215235726 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215235726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8077 (Georgia) | Primary |
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