| Gwinnett Place Dental | |
|
3796 Satellite Blvd Duluth GA 30096-5699 | |
| (770) 476-4140 | |
| (770) 497-9435 |
| Full Name | Gwinnett Place Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3796 Satellite Blvd, Duluth, Georgia |
| Authorized Official Name and Position | Fabiola Palacios-barrionuevo (MEMBER) |
| Authorized Official Contact | 7708424900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Place Dental 3920 Shiloh Ridge Run Suwanee GA 30024-6015 Ph: () - | Gwinnett Place Dental 3796 Satellite Blvd Duluth GA 30096-5699 Ph: (770) 476-4140 |
| NPI Number | 1922380633 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922380633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN014333 (Georgia) | Primary |
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