Brookwood Dentistry, LLC
Dentist, General Practice in Snellville, GA. Organization (NPI-2).
NPI number1982449914
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1982449914
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookwood Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Brookwood Dentistry (Doing Business As)
Practice location
1569 Janmar Rd Ste ASnellville, GA 30078-5780
Phone 770-979-7923 · Fax 678-990-6954
Mailing address
1569 Janmar Rd Ste ASnellville, GA 30078-5780
Phone 770-979-7923 · Fax 678-990-6954
Authorized official
Jenny Garcia Rocha
Sr Team Lead
9728693789
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