Dr Michael Reznik DDS And Michael Baine Dmd
Dentist in Suwanee, GA. Organization (NPI-2).
NPI number1295875656
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295875656
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Michael Reznik DDS And Michael Baine Dmd
- Organization subpart
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | ga9997 | GA | Yes |
| 122300000X | Dentist | GA8077 | GA | |
| 122300000X | Dentist | dn012408 | GA |
Other names
- Johns Creek Dental (Other Name)
Practice location
3921 Johns CourtSuite A
Suwanee, GA 30024
Phone 678-990-5980
Mailing address
3921 Johns CourtSuite A
Suwanee, GA 30024
Phone 678-990-5980
Authorized official
Susan Jones Mailey
Office Manager
6789905980
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