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Organization
ATLANTA WEST PERIODONTICS AND DENTAL IMPLANTS PC
Active
Organization
ATLANTA WEST PERIODONTICS AND DENTAL IMPLANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LYNN CUSHMAN DDS (OWNER CEO)
(770) 739-5097
Entity
Organization
Contact information
Practice address
2168 SKYVIEW DRIVE, LITHIA SPRINGS, GA 30122
(770) 739-5097
(770) 739-0517
Mailing address
2168 SKYVIEW DRIVE, LITHIA SPRINGS, GA 30122
(770) 739-5097
(770) 739-0517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10752
GA
122300000X
Dentist
2901016263
MI
Other
Enumeration date
09/27/2006
Last updated
03/07/2023
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