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Organization
AUSTELL DENTISTRY ASSOCIATES LLC
Active
Organization
AUSTELL DENTISTRY ASSOCIATES LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 467-3888
Mailing address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 467-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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