South East Dental | |
4649 Buford Hwy Chamlee GA 30341 | |
(770) 452-1400 | |
Not Available |
Full Name | South East Dental |
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Speciality | Dentist - General Practice |
Location | 4649 Buford Hwy, Chamlee, Georgia |
Authorized Official Name and Position | Jacqueline Tuyen Pham (PRESIDENT) |
Authorized Official Contact | 7704521400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South East Dental 4649 Buford Hwy Chamlee GA 30341 Ph: (770) 452-1400 | South East Dental 4649 Buford Hwy Chamlee GA 30341 Ph: (770) 452-1400 |
NPI Number | 1427277458 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1427277458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Georgia) | Primary |