Hickory Flat Dental Group

NPI 1457431496 - Dentist - 122300000X

NPI Details
NPI 1457431496
Enumeration Date 10/16/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EUGENE EUGENE
Position DENTIST/OWNER
Phone (678) 891-0272
Fax
Practice Location
7840 HIGHWAY 140
MILL CREEK PROFESSIONAL PARK
WOODSTOCK GA, 30188, US
Phone (678) 891-0272
Fax
Business Location
7840 HIGHWAY 140
MILL CREEK PROFESSIONAL PARK
WOODSTOCK GA, 30188, US
Phone (678) 891-0272
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 009491
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According to our database, Hickory Flat Dental Group NPI is 1457431496, taxonomy code is 122300000X and license number is 009491, license state is located at Georgia. Hickory Flat Dental Group physically located at 7840 Highway 140, Woodstock GA, 30188. NPI Number 1033115704 has the healthcare provider type.

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1457431496 NPI number is provided on an as is basis without warranty of any kind. 1457431496 is maintained by the National Plan & Provider Enumeration System. The contents of Hickory Flat Dental Group are for informational purposes only.