| International Family Dental Center P.c. | |
|
5495 Jimmy Carter Blvd Ste A14 Norcross GA 30093-1518 | |
| (770) 368-9159 | |
| (770) 368-9119 |
| Full Name | International Family Dental Center P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5495 Jimmy Carter Blvd Ste A14, Norcross, Georgia |
| Authorized Official Name and Position | James Wilkins (ADMINISTRATOR) |
| Authorized Official Contact | 7703689159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Family Dental Center P.c. 5495 Jimmy Carter Blvd Ste A14 Norcross GA 30093-1518 Ph: (770) 368-9159 | International Family Dental Center P.c. 5495 Jimmy Carter Blvd Ste A14 Norcross GA 30093-1518 Ph: (770) 368-9159 |
| NPI Number | 1881868727 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881868727 | NPI | - | NPPES |
| 00770316E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11792 (Georgia) | Primary |
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