| Polish Dental Center Alpharetta Llc | |
|
4640 Valais Ct Ste 102 Alpharetta GA 30022-2606 | |
| (770) 642-4711 | |
| Not Available |
| Full Name | Polish Dental Center Alpharetta Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 4640 Valais Ct Ste 102, Alpharetta, Georgia |
| Authorized Official Name and Position | Tiffany Jamison (OWNWER) |
| Authorized Official Contact | 2027148433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polish Dental Center Alpharetta Llc 692 Londonberry Rd Atlanta GA 30327-4956 Ph: (202) 714-8433 | Polish Dental Center Alpharetta Llc 4640 Valais Ct Ste 102 Alpharetta GA 30022-2606 Ph: (770) 642-4711 |
| NPI Number | 1699380840 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699380840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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