Organization
DUNWOODY NORTHEAST DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE CHAW DMD (MEMBER)
(410) 709-8618
Entity
Organization
Contact information
Practice address
4675 N SHALLOWFORD RD, SUITE #118, ATLANTA, GA 30338-6309
(770) 452-0222
Mailing address
7350 TALBOT COLONY, ATLANTA, GA 30328-1625
(410) 709-8618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014380
GA
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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