Town Center Dental LLC

NPI #1215411897 in Suwanee, Georgia

Provider Information

NPI Number: 1215411897
Entity Type: Organization
Organization Name: Town Center Dental LLC
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 425 BUFORD HWY STE 101
City: Suwanee
State: Georgia
ZIP Code: 30024-2692
Phone: (678) 835-0793

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (941) 955-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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