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202 Tribble Gap Rd Ste 101 Cumming GA 30040-2540 | |
| (678) 341-9101 | |
| (678) 771-8925 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 Tribble Gap Rd Ste 101, Cumming, Georgia |
| Authorized Official Name and Position | Imelda Crews (GENERAL DENTIST) |
| Authorized Official Contact | 6783419101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9175 Four Mile Creek Rd Gainesville GA 30506-3995 Ph: (770) 634-6227 | 202 Tribble Gap Rd Ste 101 Cumming GA 30040-2540 Ph: (678) 341-9101 |
| NPI Number | 1912496159 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912496159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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