Organization
METRO DEKALB DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SIMMS D.M.D. (DENTIST)
(404) 296-4119
Entity
Organization
Contact information
Practice address
4849 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4175
(404) 296-4119
(404) 935-0905
Mailing address
4849 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4175
(404) 296-4119
(404) 935-0905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013291
GA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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