Organization
ATLANTA DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
1275 POWERS FERRY RD SE, 250, MARIETTA, GA 30067-9486
(770) 955-3878
Mailing address
1275 POWERS FERRY RD SE, 250, MARIETTA, GA 30067-9486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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