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Organization

BHULLAR DENTAL GROUP,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDEEP SINGH BHULLAR (PRESIDENT)
(770) 718-9091
Entity
Organization

Contact information

Practice address
1216 AVIATION BLVD, SUITE#101, GAINESVILLE, GA 30501-6848
(770) 718-9091
Mailing address
1216 AVIATION BLVD, SUITE#101, GAINESVILLE, GA 30501-6848
(770) 718-9091

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012628
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112965
DORAL DENTAL
GA
05
549522689N
GA
Enumeration date
09/08/2008
Last updated
09/08/2008
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