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Ccsd-dacula, Llc
Dental Clinic/Center in Dacula, Georgia
NPI 1932754223

Ccsd-dacula, Llc is a Dental Clinic/Center based in Dacula, GA and is specialized in Dental. Ccsd-dacula, Llc practices in Dacula, GA. The NPI Number for Ccsd-dacula, Llc is 1932754223 and holds a License No. (Georgia).

The current practice location address for Ccsd-dacula, Llc is 420 Dacula Rd, Dacula, GA and can be reached out via phone at 770-277-0800.

Location: 420 Dacula Rd, Dacula, GA, 30019-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932754223
Provider Name
Ccsd-dacula, Llc
Credential
Provider Entity Type
Organization
Address
420 Dacula Rd, Dacula, GA, 30019-2128
Phone Number
770-277-0800
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Dacula Rd
City
Dacula
State
Georgia
Zip
30019-2128
Phone Number
770-277-0800
Fax Number
person
Provider Business Mailing Address Details
Address
420 Dacula Rd
City
Dacula
State
Georgia
Zip
30019-2128
Phone Number
770-277-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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