Organization
GREAT EXPRESSIONS DENTAL CENTERS OF GEORGIA, PC
Active
Other names
Nanston Dental Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN C JOHNSON (FOUNDER)
(248) 203-1100
Entity
Organization
Contact information
Practice address
300 E. LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 723-0052
Mailing address
300 E. LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 723-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN006556
GA
Other
Enumeration date
07/05/2007
Last updated
11/15/2011
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