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Organization

MIDTOWN DENTAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LELA II LEWIS DDS (PRESIDENT/ OWNER)
(404) 753-3339
Entity
Organization

Contact information

Practice address
1014 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1812
(404) 753-3339
(404) 753-1858
Mailing address
1014 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1812
(404) 753-3339
(404) 753-1858

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00263645D
GA
Enumeration date
04/04/2008
Last updated
04/04/2008
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