| Georgia Dental Associates | |
|
3100 Five Forks Trickum Road Suite 201 Lilburn GA 30047 | |
| (770) 978-3292 | |
| Not Available |
| Full Name | Georgia Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Five Forks Trickum Road Suite 201, Lilburn, Georgia |
| Authorized Official Name and Position | Sanket Karmarkar (ORGANIZER AND REGISTERED AGENT) |
| Authorized Official Contact | 2013567689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Associates 3100 Five Forks Trickum Road Suite 201 Lilburn GA 30047 Ph: () - | Georgia Dental Associates 3100 Five Forks Trickum Road Suite 201 Lilburn GA 30047 Ph: (770) 978-3292 |
| NPI Number | 1235595687 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Georgia) | Primary |
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