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Organization
NEW FOUNDATION DENTAL IMPLANT CENTERS, P.C.
Active
Organization
NEW FOUNDATION DENTAL IMPLANT CENTERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CUTLER (VP OF INTEGRATION AND ADMINISTRATIO)
(607) 743-9474
Entity
Organization
Contact information
Practice address
1816 EAGLE DR STE 200-A, WOODSTOCK, GA 30189-8274
(770) 238-1437
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/12/2022
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