Hope Dental Group | |
1575 Lawrenceville Hwy Ste G Lawrenceville GA 30044-4605 | |
(678) 407-9706 | |
(678) 407-9709 |
Full Name | Hope Dental Group |
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Speciality | Dentist - General Practice |
Location | 1575 Lawrenceville Hwy, Lawrenceville, Georgia |
Authorized Official Name and Position | Asha J Vellanki (CEO) |
Authorized Official Contact | 6784079706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hope Dental Group 1575 Lawrenceville Hwy Ste G Lawrenceville GA 30044-4605 Ph: (678) 407-9706 | Hope Dental Group 1575 Lawrenceville Hwy Ste G Lawrenceville GA 30044-4605 Ph: (678) 407-9706 |
NPI Number | 1750554937 |
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Provider Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750554937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN012151 (Georgia) | Primary |
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