| Supreme Dental Group Llc | |
|
3855 Johns Creek Pkwy Ste A Suwanee GA 30024-1293 | |
| (770) 744-3855 | |
| Not Available |
| Full Name | Supreme Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 3855 Johns Creek Pkwy Ste A, Suwanee, Georgia |
| Authorized Official Name and Position | Xiaodan Zhang (DENTIST) |
| Authorized Official Contact | 7707443855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Dental Group Llc 3855 Johns Creek Pkwy Ste A Suwanee GA 30024-1293 Ph: (770) 744-3855 | Supreme Dental Group Llc 3855 Johns Creek Pkwy Ste A Suwanee GA 30024-1293 Ph: (770) 744-3855 |
| NPI Number | 1093414146 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093414146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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