Complete Dental Of Suwanee
Dentist, General Practice in Suwanee, GA. Organization (NPI-2).
NPI number1376910372
StatusActive
Last updated in NPPESAug 25, 2015
Details
- NPI
- 1376910372
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Dental Of Suwanee
- Organization subpart
- No
- Enumeration date
- Aug 25, 2015
- Last updated
- Aug 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DNO13800 | GA | Yes |
Practice location
2133 Lawrenceville Suwanee RdSuite 13
Suwanee, GA 30024-2648
Phone 678-377-6453
Mailing address
2133 Lawrenceville Suwanee RdSuite 13
Suwanee, GA 30024-2648
Phone 678-377-6453
Authorized official
Neelima Chiru
Owner/ General Dentist
3123991496
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