| Parkway Center For Cosmetic Dentistry | |
|
130 Canal St Suite 204 Pooler GA 31322-4085 | |
| (912) 748-5868 | |
| (912) 748-6778 |
| Full Name | Parkway Center For Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 Canal St, Pooler, Georgia |
| Authorized Official Name and Position | Alexander Bannout (DENTIST) |
| Authorized Official Contact | 2488907347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Center For Cosmetic Dentistry 130 Canal St Suite 204 Pooler GA 31322-4085 Ph: (912) 748-5868 | Parkway Center For Cosmetic Dentistry 130 Canal St Suite 204 Pooler GA 31322-4085 Ph: (912) 748-5868 |
| NPI Number | 1982917522 |
|---|---|
| Provider Enumeration Date | 07/25/2010 |
| Last Update Date | 07/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982917522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013382 (Georgia) | Primary |
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