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Organization
SUGAR HILL FAMILY AND COSMETIC DENTISTRY
Active
Organization
SUGAR HILL FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDA BUTLER (FRONT OFFICE ADMIN)
(678) 765-8650
Entity
Organization
Contact information
Practice address
5885 CUMMING HWY STE 104, SUGAR HILL, GA 30518-5687
(678) 765-8650
Mailing address
5885 CUMMING HWY STE 104, SUGAR HILL, GA 30518-5687
(678) 765-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321456
CODE
—
Enumeration date
03/11/2019
Last updated
03/11/2019
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