| Infinite Smiles 2 Llc | |
|
9700 Medlock Bridge Rd Ste 108 Johns Creek GA 30097-4408 | |
| (770) 609-1281 | |
| Not Available |
| Full Name | Infinite Smiles 2 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9700 Medlock Bridge Rd Ste 108, Johns Creek, Georgia |
| Authorized Official Name and Position | Micajah J Vickers (MEMBER) |
| Authorized Official Contact | 4044329922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Smiles 2 Llc 3535 Peachtree Rd Ne Ste 520-176 Atlanta GA 30326-3287 Ph: () - | Infinite Smiles 2 Llc 9700 Medlock Bridge Rd Ste 108 Johns Creek GA 30097-4408 Ph: (770) 609-1281 |
| NPI Number | 1043082571 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043082571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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