Organization
NEW FOUNDATION DENTAL IMPLANT CENTERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CUTLER (VP OF INTEGRATION AND ADMINISTRATIO)
(607) 743-9474
Entity
Organization
Contact information
Practice address
1816 EAGLE DR STE 200-A, WOODSTOCK, GA 30189-8274
(770) 238-1437
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/12/2022
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