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Organization

GA SPECIALTY DENTAL SERVICES

Active
Other names
Paul Korb, DMD Implant Services, Oral & Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF OPERATIONS)
(615) 678-0759
Entity
Organization

Contact information

Practice address
4355 JOHNS CREEK PKWY, SUWANEE, GA 30024-9100
(770) 495-9193
Mailing address
401 CHURCH ST STE 1400, NASHVILLE, TN 37219-2214
(615) 678-0759

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
09/25/2019
Last updated
09/25/2019
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