| Suwanee Station Dentistry, Llc | |
|
1300 Peachtree Industrial Blvd Suite 4103 Suwanee GA 30024-4539 | |
| (770) 831-5568 | |
| (770) 831-5527 |
| Full Name | Suwanee Station Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | Tara Perry (DENTIST) |
| Authorized Official Contact | 7708315568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suwanee Station Dentistry, Llc 1300 Peachtree Industrial Blvd Suite 4103 Suwanee GA 30024-4539 Ph: (770) 831-5568 | Suwanee Station Dentistry, Llc 1300 Peachtree Industrial Blvd Suite 4103 Suwanee GA 30024-4539 Ph: (770) 831-5568 |
| NPI Number | 1043530686 |
|---|---|
| Provider Enumeration Date | 06/06/2010 |
| Last Update Date | 06/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043530686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012548 (Georgia) | Primary |
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