| Booker Oral Surgery & Implant Center Pc | |
|
335 Peachtree Industrial Blvd Suite 2210 Suwanee GA 30024-3756 | |
| (770) 932-8869 | |
| (770) 932-8870 |
| Full Name | Booker Oral Surgery & Implant Center Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 335 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | Stacey C Newton-booker (DENTIST/OWNER) |
| Authorized Official Contact | 7709328869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booker Oral Surgery & Implant Center Pc 335 Peachtree Industrial Blvd Suite 2210 Suwanee GA 30024-3756 Ph: (770) 932-8869 | Booker Oral Surgery & Implant Center Pc 335 Peachtree Industrial Blvd Suite 2210 Suwanee GA 30024-3756 Ph: (770) 932-8869 |
| NPI Number | 1023357464 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023357464 | NPI | - | NPPES |
| 1538204524 | Other | GA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN012963 (Georgia) | Primary |
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