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Organization
WRANGLEHURST, P.C.
Active
Organization
WRANGLEHURST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAGE PHELPS BARDEN D.D.S., M.S.D (PRES/CEO)
(404) 272-2512
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BR. RD, SUITE 230, NORCROSS, GA 30092
(770) 447-5311
(770) 447-1865
Mailing address
4947 FAIRHAVEN WAY NE, ROSWELL, GA 30075
(404) 272-2512
(404) 601-9762
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN0010757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00882934D
—
GA
Enumeration date
05/15/2014
Last updated
05/15/2014
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