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Organization
TONGUE-TIE LASER CENTER OF ATLANTA
Active
Organization
TONGUE-TIE LASER CENTER OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D PERSAUD DDS (DENTIST/OWNER)
(347) 598-2410
Entity
Organization
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD, SANDY SPRINGS, GA 30328-6773
(470) 437-4337
Mailing address
6600 PEACHTREE DUNWOODY RD, BUILDING 400 SUITE 150, SANDY SPRINGS, GA 30328-6773
(347) 598-2410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
—
Enumeration date
10/23/2020
Last updated
03/22/2022
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