Organization
GA SPECIALTY DENTAL SERVICES II, PC
Active
Organization
GA SPECIALTY DENTAL SERVICES II, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIONS)
(504) 638-0303
Entity
Organization
Contact information
Practice address
3415 DULUTH HWY # 120, DULUTH, GA 30096-3354
(770) 623-8520
Mailing address
401 CHURCH ST STE 1400, NASHVILLE, TN 37219-2214
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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