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Organization

BROOKHAVEN DENTAL CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS JOHN MICHAELS D.M.D. (OWNER)
(404) 261-0260
Entity
Organization

Contact information

Practice address
4060 PEACHTREE ROAD, N.E., SUITE H, ATLANTA, GA 30319-3020
(404) 261-0260
(404) 844-0373
Mailing address
4060 PEACHTREE ROAD, N.E., SUITE H, ATLANTA, GA 30319-3020
(404) 261-0260
(404) 844-0373

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/17/2011
Last updated
02/17/2011
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