Gentle Dental | |
3595 Hill St. Clarkston GA 30021 | |
(404) 499-2216 | |
Not Available |
Full Name | Gentle Dental |
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Speciality | Dentist |
Location | 3595 Hill St., Clarkston, Georgia |
Authorized Official Name and Position | Vanessa Phan (DENTIST) |
Authorized Official Contact | 4044992216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gentle Dental 3595 Hill St. Clarkston GA 30021 Ph: (404) 499-2216 | Gentle Dental 3595 Hill St. Clarkston GA 30021 Ph: (404) 499-2216 |
NPI Number | 1740310630 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740310630 | NPI | - | NPPES |
00882824D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN012128 (Georgia) | Primary |
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