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Organization

SUWANEE FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TINA HEIL D.M.D. (OWNER)
(678) 714-2380
Entity
Organization

Contact information

Practice address
2566 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-2537
(678) 714-2380
Mailing address
2566 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-2537
(678) 714-2380

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12347
GA

Other

Enumeration date
08/04/2006
Last updated
08/22/2020
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