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Organization
EAST ATLANTA DENTAL
Active
Organization
EAST ATLANTA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEE OWNER (OWNER)
(770) 981-9700
Entity
Organization
Contact information
Practice address
5040 SNAPFINGER WOODS DR STE 203, DECATUR, GA 30035-4020
(770) 981-9700
(770) 323-6226
Mailing address
5040 SNAPFINGER WOODS DR STE 203, DECATUR, GA 30035-4020
(770) 981-9700
(770) 323-6226
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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