| New Image Dental Group | |
|
1040 Garland Dr Ste 200 Bogart GA 30622-3201 | |
| (770) 725-7377 | |
| Not Available |
| Full Name | New Image Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1040 Garland Dr Ste 200, Bogart, Georgia |
| Authorized Official Name and Position | Jonathan Hwang (DMD) |
| Authorized Official Contact | 7707257377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dental Group 1040 Garland Dr Ste 200 Bogart GA 30622-3201 Ph: () - | New Image Dental Group 1040 Garland Dr Ste 200 Bogart GA 30622-3201 Ph: (770) 725-7377 |
| NPI Number | 1194996736 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013040 (Georgia) | Primary |
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