Organization
DR. JAY K. KANSAL, DMD, PC
Active
Other names
Cobb Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KANSAL DMD (OWNER)
(678) 521-1888
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
(770) 952-0136
Mailing address
2480 WINDY HILL RD SE, SUITE 405, MARIETTA, GA 30067-8644
(770) 952-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013686
GA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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