Organization
BESPOKE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY RASK DMD (OWNER)
(678) 552-4904
Entity
Organization
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 202, NEWNAN, GA 30265-2551
(678) 552-4904
(678) 552-4905
Mailing address
2201 NEWNAN CROSSING BLVD E STE 202, NEWNAN, GA 30265-2551
(678) 552-4904
(678) 552-4905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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