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Organization
KOOL SMILES IN-3, PC
Active
Organization
KOOL SMILES IN-3, PC
Active
Other names
Pippin Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M. VIETH DDS (SECRETARY/TREASURER)
(770) 916-5036
Entity
Organization
Contact information
Practice address
1021 W 5TH AVE, GARY, IN 46402-1703
(800) 920-9947
Mailing address
400 GALLERIA PKWY SE STE 800, ATLANTA, GA 30339-6413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/22/2019
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