Organization
YOUR SMILE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER ALLEN DDS (PRESIDENT)
(770) 985-1050
Entity
Organization
Contact information
Practice address
3931 HIGHWAY 78 W, SUITE A, SNELLVILLE, GA 30039-3930
(770) 985-1050
(800) 985-8967
Mailing address
3931 HWY 78, SUITE A, SNELLVILLE, GA 30039-3930
(770) 985-1050
(800) 985-8967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581215A
—
GA
Enumeration date
10/28/2008
Last updated
07/31/2014
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