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Organization
ATL CENTER FOR COSMETIC DENTISTRY LLC
Active
Organization
ATL CENTER FOR COSMETIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
5014 ROSWELL RD, ATLANTA, GA 30342-2207
(404) 847-9711
Mailing address
5014 ROSWELL RD, ATLANTA, GA 30342-2207
(404) 847-9711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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