Organization
SMILE PARLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARCEL JENKINS DMD (OWNER)
(770) 866-2080
Entity
Organization
Contact information
Practice address
2714 HIGHWAY 155, LOCUST GROVE, GA 30248-2401
(470) 502-0820
(470) 502-0821
Mailing address
2714 HIGHWAY 155, LOCUST GROVE, GA 30248-2401
(470) 502-0820
(470) 502-0821
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
12/17/2019
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