Individual
SOPHIA WAYE COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
653 ROBERTS DR STE B, RIVERDALE, GA 30274-2959
(770) 991-9925
Mailing address
PO BOX 961480, RIVERDALE, GA 30296-6906
(770) 991-9925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8731
GA
Other
Enumeration date
05/14/2007
Last updated
12/16/2015
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