Great Smiles Buford Center LLC

NPI #1740984574 in Buford, Georgia

Provider Information

NPI Number: 1740984574
Entity Type: Organization
Organization Name: Great Smiles Buford Center LLC
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 1879 BUFORD HWY STE 5A
City: Buford
State: Georgia
ZIP Code: 30518-3628
Phone: (470) 722-5591

Authorized Official

Name: DR. BEVERLY ZIDOR, DDS
Title: CEO
Phone: (772) 828-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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