Organization
TOWN CENTER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
425 BUFORD HWY STE 101, SUWANEE, GA 30024-2692
(678) 835-0793
Mailing address
425 BUFORD HWY STE 101, SUWANEE, GA 30024-2692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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