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NPI Code Detail

MEDICARE: NINA GUO DDS

MEDICARE: NINA GUO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN122818GA

General Provider Information

NPI Number : 1881316743
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA GUO DDS
Provider Business Mailing Address
First Line : 355 PELTON CT
Second Line :
City : JOHNS CREEK
State : GA
Zip : 30022-5348
Country : US
Telephone Number : 845-522-4649
Fax Number :
Provider Business Practice Location Address
First Line : 3560 PEACHTREE INDUSTRIAL BLVD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4817
Country : US
Telephone Number : 678-584-9266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 09/16/2022

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Directions to “ NINA GUO DDS” Practice Location

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