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Organization

RADIANT SMILES DENTAL OF CHAMBLEE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE WU MARHIC (MANAGING PARTNER)
(404) 455-1400
Entity
Organization

Contact information

Practice address
4306 N PEACHTREE ROAD, CHAMBLEE, GA 30314
(770) 455-1400
Mailing address
4306 N PEACHTREE RD, CHAMBLEE, GA 30341-1210

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/26/2017
Last updated
10/26/2017
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