Organization
MAYFIELD DMD, PC
Active
Other names
Kool Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE G MAYFIELD DMD (PRESIDENT)
(770) 916-5028
Entity
Organization
Contact information
Practice address
8104 EVERGREEN WAY, SUITE B, MAILBOX 3, EVERETT, WA 98203-6419
(425) 374-0894
(770) 904-5666
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/11/2008
Last updated
03/04/2011
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