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Organization
THEODIS ELZIE, D.D.S., P.C.
Active
Organization
THEODIS ELZIE, D.D.S., P.C.
Active
Other names
Brighten Your Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THEODIS ELZIE D.D.S. (PRESIDENT)
(770) 801-1641
Entity
Organization
Contact information
Practice address
705 WINDY HILL RD SE, SMYRNA, GA 30080-1854
(770) 808-1641
(770) 801-0587
Mailing address
705 WINDY HILL RD SE, SMYRNA, GA 30080-1854
(770) 808-1641
(770) 801-0587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010679
GA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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