| Nippon Clinic Dental Group, Inc. | |
|
993 Johnson Ferry Rd Ne Ste F240 Atlanta GA 30342-1695 | |
| (404) 843-8910 | |
| (404) 843-3567 |
| Full Name | Nippon Clinic Dental Group, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 993 Johnson Ferry Rd Ne Ste F240, Atlanta, Georgia |
| Authorized Official Name and Position | Yoshihito Shimizu (CFO) |
| Authorized Official Contact | 4048438910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nippon Clinic Dental Group, Inc. 993 Johnson Ferry Rd Ne Ste F240 Atlanta GA 30342-1695 Ph: (404) 843-8910 | Nippon Clinic Dental Group, Inc. 993 Johnson Ferry Rd Ne Ste F240 Atlanta GA 30342-1695 Ph: (404) 843-8910 |
| NPI Number | 1467579425 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467579425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013638 (Georgia) | Primary |
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