Dental Town, LLC

NPI #1457657439 in Cumming, Georgia

Provider Information

NPI Number: 1457657439
Entity Type: Organization
Organization Name: Dental Town, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2011
Last Updated: Feb 9, 2011

Practice Location

Address: 410 PEACHTREE PARKWAY
Address 2: BUILDING 400, STE. 4250
City: Cumming
State: Georgia
ZIP Code: 30041
Phone: (770) 887-8807

Authorized Official

Name: DR. MICHAEL RICHARD HANSEN, D.D.S.
Title: OWNER
Phone: (770) 622-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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