Nukoa Family Dental

NPI 1033380050 - Clinic/Center - 261QD0000X

NPI Details
NPI 1033380050
Enumeration Date 03/18/2008
Last Updated 10/23/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JONATHAN JONATHAN
Position DMD
Phone (770) 813-0777
Fax
Practice Location
3705 OLD NORCROSS RD
SUITE 300
DULUTH GA, 30096-4313, US
Phone (770) 813-0777
Fax
Business Location
3705 OLD NORCROSS RD
SUITE 300
DULUTH GA, 30096-4313, US
Phone (770) 813-0777
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Georgia
License Number DN012668
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According to our database, Nukoa Family Dental NPI is 1033380050, taxonomy code is 261QD0000X and license number is DN012668, license state is located at Georgia. Nukoa Family Dental physically located at 3705 Old Norcross Rd, Duluth GA, 30096-4313. NPI Number 1033115704 has the healthcare provider type.

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1033380050 NPI number is provided on an as is basis without warranty of any kind. 1033380050 is maintained by the National Plan & Provider Enumeration System. The contents of Nukoa Family Dental are for informational purposes only.