Organization
SMILES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BURKE (OWNER)
(912) 526-9898
Entity
Organization
Contact information
Practice address
113 OXLEY DR, LYONS, GA 30436-5644
(912) 526-9898
Mailing address
113 OXLEY DR, LYONS, GA 30436-5644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415429674A
—
GA
Enumeration date
05/05/2008
Last updated
05/05/2008
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