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Organization
NORTHSIDE COSMETIC AND DENTAL IMPLANT CENTER, PC
Active
Organization
NORTHSIDE COSMETIC AND DENTAL IMPLANT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHAN DHANANI (OWNER)
(678) 944-9422
Entity
Organization
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD STE 140, ATLANTA, GA 30342-5032
(678) 944-9422
Mailing address
5555 PEACHTREE DUNWOODY RD STE 140, ATLANTA, GA 30342-5032
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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