Organization
GLEE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUNMI OSUNFISAN (CEO)
(678) 961-3370
Entity
Organization
Contact information
Practice address
3485 ACWORTH DUE WEST RD NW STE 160, ACWORTH, GA 30101-3870
(678) 961-3370
Mailing address
3485 ACWORTH DUE WEST RD NW STE 160, ACWORTH, GA 30101-3870
(678) 961-3370
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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