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Organization

GEMSTONE DENTAL SPA LLC (DBA LUX DENTISTRY )

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASIM DOROUDGAR DMD (DENTIST/OWNER)
(678) 773-7354
Entity
Organization

Contact information

Practice address
1155 BLUEGRASS CT STE 5, ALPHARETTA, GA 30004-2489
(678) 773-7354
Mailing address
1155 BLUEGRASS CT STE 5, ALPHARETTA, GA 30004-2489
(678) 773-7354

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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