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Organization

INFINITE SMILES 2 LLC

Active
Other names
Infinite Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
MICAJAH J VICKERS (MEMBER)
(404) 432-9922
Entity
Organization

Contact information

Practice address
9700 MEDLOCK BRIDGE RD STE 108, JOHNS CREEK, GA 30097-4408
(770) 609-1281
Mailing address
3535 PEACHTREE RD NE STE 520-176, ATLANTA, GA 30326-3287

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/27/2023
Last updated
10/27/2023
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