Freedom 11, Llc | |
3840 Peachtree Industrial Blvd 320 Duluth GA 30096 | |
(770) 670-6555 | |
Not Available |
Full Name | Freedom 11, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 3840 Peachtree Industrial Blvd, Duluth, Georgia |
Authorized Official Name and Position | Michael Reznik (OWNER) |
Authorized Official Contact | 4043070358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freedom 11, Llc 3840 Peachtree Industrial Blvd 320 Duluth GA 30096 Ph: (770) 670-6555 | Freedom 11, Llc 3840 Peachtree Industrial Blvd 320 Duluth GA 30096 Ph: (770) 670-6555 |
NPI Number | 1215235726 |
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Provider Enumeration Date | 03/08/2011 |
Last Update Date | 03/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215235726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8077 (Georgia) | Primary |
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