Organization
AFFORDABLE DENTIST OF SNELLVILLE GA, LLC
Active
Other names
Snellville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID VICKERS DMD (OWNER)
(912) 383-5784
Entity
Organization
Contact information
Practice address
2138 SCENIC HWY N, STE D, SNELLVILLE, GA 30078-6106
(770) 985-2325
Mailing address
PO BOX 191363, ATLANTA, GA 31119-1363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010714
GA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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