| Sonrisa Family Dental Georgia Ii Llc | |
|
1200 Sherwood Park Dr Ne Gainesville GA 30501-3445 | |
| (678) 383-4180 | |
| Not Available |
| Full Name | Sonrisa Family Dental Georgia Ii Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Sherwood Park Dr Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Jason Korkus (OWNER/PRESIDENT) |
| Authorized Official Contact | 3129250042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisa Family Dental Georgia Ii Llc 3520 S Morgan St Ste 207-208 Chicago IL 60609-1533 Ph: (312) 722-6460 | Sonrisa Family Dental Georgia Ii Llc 1200 Sherwood Park Dr Ne Gainesville GA 30501-3445 Ph: (678) 383-4180 |
| NPI Number | 1508536129 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508536129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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