Organization
SUPREME DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAODAN ZHANG (DENTIST)
(770) 744-3855
Entity
Organization
Contact information
Practice address
3855 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1293
(770) 744-3855
Mailing address
3855 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1293
(770) 744-3855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
10/31/2023
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