Organization
DR MICHAEL REZNIK DDS AND MICHAEL BAINE DMD
Active
Other names
Johns Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN JONES MAILEY (OFFICE MANAGER)
(678) 990-5980
Entity
Organization
Contact information
Practice address
3921 JOHNS COURT, SUITE A, SUWANEE, GA 30024
(678) 990-5980
Mailing address
3921 JOHNS COURT, SUITE A, SUWANEE, GA 30024
(678) 990-5980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN012408
GA
122300000X
Dentist
GA8077
GA
122300000X
Dentist
Primary
GA9997
GA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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