| Wacs | |
|
3993 Lawrenceville Hwy Nw Ste 100 Lilburn GA 30047-2831 | |
| (770) 279-2020 | |
| Not Available |
| Full Name | Wacs |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3993 Lawrenceville Hwy Nw Ste 100, Lilburn, Georgia |
| Authorized Official Name and Position | William Shin (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 5108475112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wacs 410 Braeden Way Alpharetta GA 30009-3005 Ph: (510) 847-5112 | Wacs 3993 Lawrenceville Hwy Nw Ste 100 Lilburn GA 30047-2831 Ph: (770) 279-2020 |
| NPI Number | 1437725090 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437725090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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