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Organization

MAGNOLIA LANE GA PARTNERS LLC

Active
Other names
Delash Sleep Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELINE DELASH DMD, MPH, MBA, D. AB (OWNER)
(770) 336-7074
Entity
Organization

Contact information

Practice address
1235 ROBINSON RD STE H, PEACHTREE CITY, GA 30269-3832
(770) 487-1880
(770) 487-1851
Mailing address
1235 ROBINSON RD STE H, PEACHTREE CITY, GA 30269-3832
(770) 487-1880
(770) 487-1851

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
09/23/2024
Last updated
11/24/2025
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