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Organization
RADIANT SMILES DENTAL OF CHAMBLEE LLC
Active
Organization
RADIANT SMILES DENTAL OF CHAMBLEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE WU MARHIC (MANAGING PARTNER)
(404) 455-1400
Entity
Organization
Contact information
Practice address
4306 N PEACHTREE ROAD, CHAMBLEE, GA 30314
(770) 455-1400
Mailing address
4306 N PEACHTREE RD, CHAMBLEE, GA 30341-1210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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