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Organization
ACWORTH CENTER FOR DENTAL EXCELLENCE PC
Active
Organization
ACWORTH CENTER FOR DENTAL EXCELLENCE PC
Active
Other names
Cherokee Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAY KANSAL DMD (OWNER)
(770) 591-8446
Entity
Organization
Contact information
Practice address
6572 HIGHWAY 92 STE 120, ACWORTH, GA 30102-7553
(770) 951-8446
Mailing address
6572 HIGHWAY 92 STE 120, ACWORTH, GA 30102-7553
(770) 951-8446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013686
GA
Other
Enumeration date
01/30/2015
Last updated
02/09/2016
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