| Reach Dental Pc | |
|
845 Scenic Hwy Suite#300 Lawrenceville GA 30046-7101 | |
| (770) 277-5588 | |
| Not Available |
| Full Name | Reach Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 Scenic Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Randeep Singh Bhullar (PRESIDENT) |
| Authorized Official Contact | 7702775588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Dental Pc 845 Scenic Hwy Suite#300 Lawrenceville GA 30046-7101 Ph: (770) 277-5588 | Reach Dental Pc 845 Scenic Hwy Suite#300 Lawrenceville GA 30046-7101 Ph: (770) 277-5588 |
| NPI Number | 1528318508 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528318508 | NPI | - | NPPES |
| 549522689A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012628 (Georgia) | Primary |
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