Organization
AVENUE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUHANNAD BUDEIR DDS (OFFICER)
(770) 888-4444
Entity
Organization
Contact information
Practice address
983 PEACHTREE PARKWAY SUITE C, CUMMING, GA 30041
(770) 888-4444
(770) 888-4448
Mailing address
983 PEACHTREE PARKWAY SUITE C, CUMMING, GA 30041
(770) 888-4444
(770) 888-4448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013053
GA
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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