Organization
QUARLES DENTAL INC
Active
Other names
Quarles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE QUARLES DMD (OWNER DENTIST)
(404) 252-3170
Entity
Organization
Contact information
Practice address
993 JOHNSON FERRY RD NE, BLDG. D, SUITE 490, ATLANTA, GA 30342
(404) 252-3170
(404) 252-3175
Mailing address
993 JOHNSON FERRY RD NE, BLDG. D, SUITE 490, ATLANTA, GA 30342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015090
GA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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