| Great Smiles Buford Center Llc | |
|
1879 Buford Hwy Ste 5a Buford GA 30518-3628 | |
| (470) 722-5591 | |
| Not Available |
| Full Name | Great Smiles Buford Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 1879 Buford Hwy Ste 5a, Buford, Georgia |
| Authorized Official Name and Position | Beverly Zidor (CEO) |
| Authorized Official Contact | 7728289005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smiles Buford Center Llc 2055 Barrett Lakes Blvd # 822 Kennesaw GA 30144-8003 Ph: () - | Great Smiles Buford Center Llc 1879 Buford Hwy Ste 5a Buford GA 30518-3628 Ph: (470) 722-5591 |
| NPI Number | 1740984574 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740984574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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