Organization
SMILES-R-US OF CARROLLTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMEY S CHANG DMD (DR)
(770) 459-4131
Entity
Organization
Contact information
Practice address
1111 BANKHEAD HWY, CARROLLTON, GA 30117-1821
(770) 459-4131
Mailing address
1111 BANKHEAD HWY, CARROLLTON, GA 30117-1821
(770) 459-4131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012559
GA
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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