Individual
DR. BRIAN A BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
831 DIXIE ST, CARROLLTON, GA 30117-4415
(770) 832-9668
(678) 601-1574
Mailing address
429 MITCHELL AVE, BOWDON, GA 30108-1405
(770) 258-5516
(770) 258-5517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014278
GA
Other
Enumeration date
05/12/2010
Last updated
05/12/2016
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