Organization
CRABAPPLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREAL C BINGHAM CLAY (OFFICE COORDINATOR)
(770) 475-3700
Entity
Organization
Contact information
Practice address
12685 CRABAPPLE RD, ALPHARETTA, GA 30004-6339
(770) 475-3700
(770) 664-2284
Mailing address
12685 CRABAPPLE RD, ALPHARETTA, GA 30004-6339
(770) 475-3700
(770) 664-2284
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013090
GA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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