Organization
EAGLIN DENTAL GROUP MIDTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE DENNEY (OFFICE MANAGER)
(770) 471-2333
Entity
Organization
Contact information
Practice address
275 14TH ST NW, STE 100, ATLANTA, GA 30318-9100
(678) 902-9180
Mailing address
275 14TH ST NW, STE 100, ATLANTA, GA 30318-9100
(678) 902-9180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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