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Organization
FAMILIA DENTISTRY OF GEORGIA, LLC
Active
Organization
FAMILIA DENTISTRY OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALLEN (CHIEF CLINICAL OFFICER)
(678) 370-0591
Entity
Organization
Contact information
Practice address
4574 LAWRENCEVILLE HWY NW STE 120, LILBURN, GA 30047-3605
(678) 370-0591
Mailing address
PO BOX 16539, SAVANNAH, GA 31416-3239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
01/20/2023
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