Organization
SMILE AGAIN FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIN WEI (DDS)
(770) 814-2212
Entity
Organization
Contact information
Practice address
4317 ABBOTTS BRIDGE RD, SUITE 4, DULUTH, GA 30097-2141
(770) 814-2212
(888) 909-5893
Mailing address
4317 ABBOTTS BRIDGE RD, SUITE 4, DULUTH, GA 30097-2141
(770) 814-2212
(888) 909-5893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915406162D
—
GA
Enumeration date
03/12/2015
Last updated
03/12/2015
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