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Organization

GEORGIA ENDODONTIC SPECIALISTS

Active
Other names
North Georgia Endodontic Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LES HALE KRAVITZ DDS (PRESIDENT)
(770) 232-5112
Entity
Organization

Contact information

Practice address
9590 MEDLOCK BRIDGE RD, SUITE G, DULUTH, GA 30097
(770) 232-5112
(770) 232-5115
Mailing address
9590 MEDLOCK BRIDGE RD, SUITE G, DULUTH, GA 30097
(770) 232-5112
(770) 232-5115

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10636
GA

Other

Enumeration date
03/19/2008
Last updated
06/20/2008
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