Organization
GEORGIA DENTURES AND IMPLANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEEP SINGH BHULLAR DDS (PRESIDENT)
(770) 728-8072
Entity
Organization
Contact information
Practice address
1905 BEAVER RUIN RD STE 175, NORCROSS, GA 30071-3850
(770) 728-8072
Mailing address
1905 BEAVER RUIN RD STE 175, NORCROSS, GA 30071-3850
(770) 728-8072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012628
GA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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