Organization
REACH DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEEP SINGH BHULLAR DDS (PRESIDENT)
(770) 277-5588
Entity
Organization
Contact information
Practice address
845 SCENIC HWY, SUITE#300, LAWRENCEVILLE, GA 30046-7101
(770) 277-5588
Mailing address
845 SCENIC HWY, SUITE#300, LAWRENCEVILLE, GA 30046-7101
(770) 277-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549522689A
—
GA
Enumeration date
09/17/2012
Last updated
09/17/2012
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