Organization
JOE SCHMOE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SCHMOE (OWNER)
(111) 222-3344
Entity
Organization
Contact information
Practice address
999 PEACHTREE ST NE, ATLANTA, GA 30309-3915
(111) 222-3344
Mailing address
999 PEACHTREE ST NE, ATLANTA, GA 30309-3915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1234546677
AK
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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