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Organization
ATLANTA EMERGENCY DENTAL PC
Active
Organization
ATLANTA EMERGENCY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON G PYE (PRESIDENT OWNER)
(770) 934-0770
Entity
Organization
Contact information
Practice address
4060 LAVISTA RD, TUCKER, GA 30084
(770) 934-0770
Mailing address
4060 LAVISTA RD, TUCKER, GA 30084
(770) 934-0770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00172235F
—
GA
Enumeration date
11/17/2006
Last updated
08/22/2020
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