Organization · Type 2 NPI

Avala Dental Providers,llc

Point of Service · Lilburn, GA

NPI number 1851729883 Active

Practice location

629 A Beaver Ruin Rd
Lilburn, GA 30047

Fax (470) 545-2859

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XDN014034 (GA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1851729883

Avala Dental Providers,llc's National Provider Identifier is 1851729883, issued on Oct 30, 2013. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Lilburn, GA. The record was last updated on Oct 30, 2013.