Booker Oral Surgery & Implant Center Pc

NPI 1023357464 - Dentist - 1223S0112X

NPI Details
NPI 1023357464
Enumeration Date 02/05/2013
Last Updated 02/21/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name STACEY C STACEY
Position DENTIST/OWNER
Phone (770) 932-8869
Fax (770) 932-8870
Practice Location
335 PEACHTREE INDUSTRIAL BLVD
SUITE 2210
SUWANEE GA, 30024-3756, US
Phone (770) 932-8869
Fax (770) 932-8870
Business Location
335 PEACHTREE INDUSTRIAL BLVD
SUITE 2210
SUWANEE GA, 30024-3756, US
Phone (770) 932-8869
Fax (770) 932-8870
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number DN012963
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According to our database, Booker Oral Surgery & Implant Center Pc NPI is 1023357464, taxonomy code is 1223S0112X and license number is DN012963, license state is located at Georgia. Booker Oral Surgery & Implant Center Pc physically located at 335 Peachtree Industrial Blvd, Suwanee GA, 30024-3756. NPI Number 1033115704 has the healthcare provider type.

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1023357464 NPI number is provided on an as is basis without warranty of any kind. 1023357464 is maintained by the National Plan & Provider Enumeration System. The contents of Booker Oral Surgery & Implant Center Pc are for informational purposes only.