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Organization
SPECIALTY CENTER FOR PERIODONTICS & DENTAL IMPLANTS INC
Active
Organization
SPECIALTY CENTER FOR PERIODONTICS & DENTAL IMPLANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
3655 HIGHWAY 5 STE 102, DOUGLASVILLE, GA 30135-6936
(770) 949-7753
Mailing address
3655 HIGHWAY 5 STE 102, DOUGLASVILLE, GA 30135-6936
(770) 949-7753
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/07/2026
Last updated
09/07/2026
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