Organization
NIPPON CLINIC DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOSHIHITO SHIMIZU D.D.S. (CFO)
(404) 843-8910
Entity
Organization
Contact information
Practice address
993 JOHNSON FERRY RD NE STE F240, ATLANTA, GA 30342-1695
(404) 843-8910
(404) 843-3567
Mailing address
993 JOHNSON FERRY RD NE STE F240, ATLANTA, GA 30342-1695
(404) 843-8910
(404) 843-3567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013638
GA
Other
Enumeration date
03/23/2007
Last updated
01/07/2009
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