Supreme Dental Group LLC

NPI #1093414146 in Suwanee, Georgia

Provider Information

NPI Number: 1093414146
Entity Type: Organization
Organization Name: Supreme Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2023
Last Updated: Oct 31, 2023

Practice Location

Address: 3855 JOHNS CREEK PKWY STE A
City: Suwanee
State: Georgia
ZIP Code: 30024-1293
Phone: (770) 744-3855

Authorized Official

Name: XIAODAN ZHANG
Title: DENTIST
Phone: (770) 744-3855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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