Oakwood Smiles Pc | |
4038 Mundy Mill Rd Oakwood GA 30566-2518 | |
(770) 534-4292 | |
Not Available |
Full Name | Oakwood Smiles Pc |
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Speciality | Dentist - General Practice |
Location | 4038 Mundy Mill Rd, Oakwood, Georgia |
Authorized Official Name and Position | Sergey Gritsiv (PRESIDENT) |
Authorized Official Contact | 7705344292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oakwood Smiles Pc Po Box 19 Oakwood GA 30566-0001 Ph: () - | Oakwood Smiles Pc 4038 Mundy Mill Rd Oakwood GA 30566-2518 Ph: (770) 534-4292 |
NPI Number | 1770724619 |
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Provider Enumeration Date | 03/23/2009 |
Last Update Date | 12/07/2012 |
Identifier | Type | State | Issuer |
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1770724619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN013149 (Georgia) | Primary |
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