North Georgia Endodontic Specialists | |
9590 Medlock Bridge Rd Suite G Duluth GA 30097 | |
(770) 232-5112 | |
(770) 232-5115 |
Full Name | North Georgia Endodontic Specialists |
---|---|
Speciality | Dentist - Endodontics |
Location | 9590 Medlock Bridge Rd, Duluth, Georgia |
Authorized Official Name and Position | Les Hale Kravitz (PRESIDENT) |
Authorized Official Contact | 7702325112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Georgia Endodontic Specialists 9590 Medlock Bridge Rd Suite G Duluth GA 30097 Ph: (770) 232-5112 | North Georgia Endodontic Specialists 9590 Medlock Bridge Rd Suite G Duluth GA 30097 Ph: (770) 232-5112 |
NPI Number | 1174794002 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174794002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 10636 (Georgia) | Primary |
News Archive
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