| Windward Pediatric Dentistry | |
|
11730 Jones Bridge Rd Ste B, C, & D Alpharetta GA 30005-5077 | |
| (770) 344-0170 | |
| (770) 344-0169 |
| Full Name | Windward Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11730 Jones Bridge Rd, Alpharetta, Georgia |
| Authorized Official Name and Position | Yangsun Bak (PRESIDENT) |
| Authorized Official Contact | 7703440170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windward Pediatric Dentistry 11730 Jones Bridge Rd Ste B, C, & D Alpharetta GA 30005-5077 Ph: (770) 344-0170 | Windward Pediatric Dentistry 11730 Jones Bridge Rd Ste B, C, & D Alpharetta GA 30005-5077 Ph: (770) 344-0170 |
| NPI Number | 1619013802 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619013802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012678 (Georgia) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN012679 (Georgia) | Secondary |
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