| Georgia Smile Team, Llc | |
|
578 S Enota Dr Ne Gainesville GA 30501-8947 | |
| (770) 536-3254 | |
| Not Available |
| Full Name | Georgia Smile Team, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 578 S Enota Dr Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Eugene Witkin (OWNER) |
| Authorized Official Contact | 7705363254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Smile Team, Llc 578 S Enota Dr Ne Gainesville GA 30501-8947 Ph: (770) 536-3254 | Georgia Smile Team, Llc 578 S Enota Dr Ne Gainesville GA 30501-8947 Ph: (770) 536-3254 |
| NPI Number | 1558612465 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558612465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN009491 (Georgia) | Primary |
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