Organization
A SMILE 4 U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKIN JAWANDO (REGIONAL CLINICAL COORDINATOR)
(678) 387-2783
Entity
Organization
Contact information
Practice address
366 N. MAIN ST., SUITE 450, ALPHARETTA, GA 30009
(678) 387-2783
(678) 387-2784
Mailing address
366 N. MAIN ST., SUITE 450, ALPHARETTA, GA 30009
(678) 387-2873
(678) 387-2784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011529
GA
Other
Enumeration date
12/24/2007
Last updated
05/20/2014
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