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Organization
BELLA COSMETIC AND FAMILY DENTISTRY
Active
Organization
BELLA COSMETIC AND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK S COOPER D.D.S (OWNER)
(770) 921-9000
Entity
Organization
Contact information
Practice address
4574 LAWRENCEVILLE HWY NW, SUITE 120, LILBURN, GA 30047-3647
(770) 921-9000
Mailing address
4574 LAWRENCEVILLE HWY NW, SUITE 120, LILBURN, GA 30047-3647
(770) 921-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO13198
GA
Other
Enumeration date
01/10/2014
Last updated
03/28/2014
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