Organization
BRIAN A BAIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ALEXANDER BAIN DDS (OWNER)
(770) 258-5516
Entity
Organization
Contact information
Practice address
429 MITCHELL AVE, BOWDON, GA 30108-1405
(770) 258-5516
Mailing address
429 MITCHELL AVE, BOWDON, GA 30108-1405
(770) 258-5516
(678) 601-1574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014278
GA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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