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Organization
AFFORDABLE DENTIST OF SNELLVILLE GA, LLC
Active
Organization
AFFORDABLE DENTIST OF SNELLVILLE GA, LLC
Active
Other names
Snellville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID VICKERS DMD (OWNER)
(912) 383-5784
Entity
Organization
Contact information
Practice address
2138 SCENIC HWY N, STE D, SNELLVILLE, GA 30078-6106
(770) 985-2325
Mailing address
PO BOX 191363, ATLANTA, GA 31119-1363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010714
GA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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