Organization
SKYEVIEW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARREN RUSSELL LANGFORD DDS (DENTIST/OWNER)
(678) 699-5304
Entity
Organization
Contact information
Practice address
2844 HIGHWAY 54, PEACHTREE CITY, GA 30269-1026
(678) 699-5304
Mailing address
185 ROSCOMMON CT, TYRONE, GA 30290-1881
(404) 895-9636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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