| Smile Haven, LLC | |
|
3592 Old Atlanta Rd Ste 100 Suwanee GA 30024-6889 | |
| (770) 676-1001 | |
| Not Available |
| Full Name | Smile Haven, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3592 Old Atlanta Rd Ste 100, Suwanee, Georgia |
| Authorized Official Name and Position | Jina George (CEO) |
| Authorized Official Contact | 7706761001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Haven, LLC 3592 Old Atlanta Rd Ste 100 Suwanee GA 30024-6889 | Smile Haven, LLC 3592 Old Atlanta Rd Ste 100 Suwanee GA 30024-6889 Ph: (770) 676-1001 |
| NPI Number | 1649057100 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649057100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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