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Organization
DR. JAY K. KANSAL, DMD, PC
Active
Organization
DR. JAY K. KANSAL, DMD, PC
Active
Other names
Cobb Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KANSAL DMD (OWNER)
(678) 521-1888
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
(770) 952-0136
Mailing address
2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
(770) 952-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013686
GA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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