Organization
GREAT EXPRESSIONS DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA RENEE MOORE DDS (PERIODONTIST)
(404) 445-9282
Entity
Organization
Contact information
Practice address
5230 MCGINNIS FERRY RD, ALPHARETTA, GA 30005-3921
(678) 527-1130
Mailing address
5230 MCGINNIS FERRY RD, ALPHARETTA, GA 30005-3921
(678) 527-1130
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DNCS000275
GA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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