Organization
GOOD CARE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAN THANH PHAM DDS (PRESIDENT)
(770) 447-4702
Entity
Organization
Contact information
Practice address
5775 JIMMY CARTER BLVD, SUITE 440, NORCROSS, GA 30071
(770) 447-4702
(678) 430-8841
Mailing address
5775 JIMMY CARTER BLVD, SUITE 440, NORCROSS, GA 30071
(770) 447-4702
(678) 430-8841
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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