| Duluth Dental Club, Pc | |
|
2003 Riverside Pkwy Ste 104 Lawrenceville GA 30043-5941 | |
| (404) 512-1070 | |
| Not Available |
| Full Name | Duluth Dental Club, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2003 Riverside Pkwy Ste 104, Lawrenceville, Georgia |
| Authorized Official Name and Position | Parth Patel (OWNER) |
| Authorized Official Contact | 4045121070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duluth Dental Club, Pc 2151 Hunters Green Dr Lawrenceville GA 30043-5181 Ph: (404) 512-1070 | Duluth Dental Club, Pc 2003 Riverside Pkwy Ste 104 Lawrenceville GA 30043-5941 Ph: (404) 512-1070 |
| NPI Number | 1538745914 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538745914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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