Duluth Dental Services PC
Dentist in Duluth, GA. Organization (NPI-2).
NPI number1184782575
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184782575
- Entity type
- Organization (NPI-2)
- Legal business name
- Duluth Dental Services PC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9930 | GA | Yes |
Practice location
2785 Buford HighwayBuilding B Suite 101 Duluth Dental Services
Duluth, GA 30096-2866
Phone 770-476-3332 · Fax 770-622-1577
Mailing address
2785 Buford HighwayBuilding B Suite 101
Duluth, GA 30096-2866
Phone 770-476-3332 · Fax 770-622-1577
Authorized official
Thomas E Geoghegan
Dentist
7704763332
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