Organization
BEAUTIFUL SMILES BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUDZAI CHIKWAVA DDS (OWNER)
(706) 625-8888
Entity
Organization
Contact information
Practice address
805 RED BUD RD NE, CALHOUN, GA 30701-1968
(706) 625-8888
(205) 718-8643
Mailing address
805 RED BUD RD NE, CALHOUN, GA 30701-1968
(706) 625-8888
(205) 718-8643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14848
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093943391
COMMERICAL INSURANCE
GA
Enumeration date
05/15/2018
Last updated
06/16/2018
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