Organization
SOMERSMILES LLC
Active
Other names
Holly Springs Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINMAYA MISHRA DDS (DENTIST)
(651) 373-5547
Entity
Organization
Contact information
Practice address
6234 OLD HIGHWAY 5 STE B1B2, WOODSTOCK, GA 30188-7806
(470) 758-2166
Mailing address
5030 VILLAGE GREEN WAY, ALPHARETTA, GA 30009-3646
(651) 373-5547
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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