| K2 Dental, Inc. | |
| 
					916 Loganville Hwy Ste 180 Bethlehem GA 30620-2162  | |
| (770) 868-0088 | |
| (770) 868-0119 | 
| Full Name | K2 Dental, Inc. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 916 Loganville Hwy Ste 180, Bethlehem, Georgia | 
| Authorized Official Name and Position | Erica Lynn Deyton (OFFICE MANAGER) | 
| Authorized Official Contact | 7708680088 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| K2 Dental, Inc. 916 Loganville Hwy Ste 180 Bethlehem GA 30620-2162 Ph: (770) 868-0088  | K2 Dental, Inc. 916 Loganville Hwy Ste 180 Bethlehem GA 30620-2162 Ph: (770) 868-0088  | 
| NPI Number | 1538728787 | 
|---|---|
| Provider Enumeration Date | 06/11/2019 | 
| Last Update Date | 06/11/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538728787 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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