Individual
DR. MATTHEW PAGE BLEICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3772 SATELLITE BLVD, SUITE 200, DULUTH, GA 30096-5681
(770) 497-1045
(770) 623-6288
Mailing address
3772 SATELLITE BLVD, SUITE 200, DULUTH, GA 30096-5681
(770) 497-1045
(770) 623-6288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12068
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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