Organization
PAIN AWAY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDA GORDON DDS (CEO/ DENTIST)
(404) 349-7730
Entity
Organization
Contact information
Practice address
5626 FULTON INDUSTRIAL BLVD SW, STE 110, ATLANTA, GA 30336-2641
(404) 349-7730
(404) 349-7729
Mailing address
5626 FULTON INDUSTRIAL BLVD SW, STE 110, ATLANTA, GA 30336-2641
(404) 349-7730
(404) 349-7729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1501026531
GA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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