Organization
COMFORT DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA M NELSON DDS (PRESIDENT / DENTIST)
(678) 377-1800
Entity
Organization
Contact information
Practice address
2219 LOGANVILLE HWY, GRAYSON, GA 30017-1622
(678) 372-1800
(678) 377-0740
Mailing address
2219 LOGANVILLE HWY, GRAYSON, GA 30017-1622
(678) 372-1800
(678) 377-0740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012336
GA
Other
Enumeration date
08/22/2006
Last updated
12/11/2012
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