Organization
7191 DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ROLLS (BUSINESS MANAGER)
(404) 452-1164
Entity
Organization
Contact information
Practice address
7191 DOUGLAS BLVD STE A, DOUGLASVILLE, GA 30135-1503
(770) 949-4400
(770) 800-3523
Mailing address
7191 DOUGLAS BLVD STE A, DOUGLASVILLE, GA 30135-1503
(770) 949-4400
(770) 800-3523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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