| Ga Specialty Dental Services Ii, Pc | |
|
3415 Duluth Hwy # 120 Duluth GA 30096-3354 | |
| (770) 623-8520 | |
| Not Available |
| Full Name | Ga Specialty Dental Services Ii, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3415 Duluth Hwy # 120, Duluth, Georgia |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Specialty Dental Services Ii, Pc 401 Church St Ste 1400 Nashville TN 37219-2214 Ph: (504) 638-0303 | Ga Specialty Dental Services Ii, Pc 3415 Duluth Hwy # 120 Duluth GA 30096-3354 Ph: (770) 623-8520 |
| NPI Number | 1154080059 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154080059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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