Organization
SMILE TODAY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENG GAO (OWNER)
(404) 429-8690
Entity
Organization
Contact information
Practice address
4897 BUFORD HWY STE 122, CHAMBLEE, GA 30341-3670
(678) 697-4656
(770) 452-5002
Mailing address
11055 BOLSTER CT, SUWANEE, GA 30024-1576
(678) 697-4656
(770) 452-5002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013199
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527692709A
MEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
04/22/2014
Last updated
04/22/2014
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