| Woodstock Family Dental | |
|
10010 Highway 92 Suite 140 Woodstock GA 30188-6427 | |
| (770) 517-2688 | |
| (770) 517-2860 |
| Full Name | Woodstock Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10010 Highway 92, Woodstock, Georgia |
| Authorized Official Name and Position | Ian Sturn (CO OWNER) |
| Authorized Official Contact | 7705172688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodstock Family Dental 10010 Highway 92 Suite 140 Woodstock GA 30188-6427 Ph: (770) 517-2688 | Woodstock Family Dental 10010 Highway 92 Suite 140 Woodstock GA 30188-6427 Ph: (770) 517-2688 |
| NPI Number | 1154512911 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154512911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11307 (Georgia) | Primary |
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