Individual
DR. MICHAEL D BAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3921 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024
(678) 990-5980
(678) 990-5984
Mailing address
3921 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024
(678) 990-5980
(678) 990-5984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009997
GA
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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