Organization
REGION DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWELL TOUSSIANT (OWNER)
(770) 736-2984
Entity
Organization
Contact information
Practice address
2488 SCENIC HWY S, SNELLVILLE, GA 30078-5710
(770) 736-2984
(770) 736-2987
Mailing address
2488 SCENIC HWY S, SNELLVILLE, GA 30078-5710
(770) 736-2984
(770) 736-2987
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN014167
TN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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