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Organization
DENTAL TLC, P.C.
Active
Organization
DENTAL TLC, P.C.
Active
Other names
Dental TLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ABBOTT (FINANCIAL CONTROLLER)
(770) 883-2817
Entity
Organization
Contact information
Practice address
290 HILDERBRAND DR STE A9, ATLANTA, GA 30328-3900
(770) 883-2817
Mailing address
290 HILDERBRAND DR STE A9, SANDY SPRINGS, GA 30328-3900
(770) 883-2817
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376975425
NPI
—
01
—
1417177551
NPI
—
01
—
1487216610
NPI
—
01
—
1518935139
NPI
—
01
—
1689244345
NPI
—
01
—
1710409834
NPI
—
Enumeration date
02/23/2023
Last updated
02/23/2023
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