Organization
PARNES FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE PARNES DDS (OWNER)
(404) 213-9051
Entity
Organization
Contact information
Practice address
3999 AUSTELL RD, SUITE 304, AUSTELL, GA 30106-1100
(404) 213-9051
(678) 990-4072
Mailing address
3999 AUSTELL RD, SUITE 304, AUSTELL, GA 30106-1100
(404) 213-9051
(678) 990-4072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362
—
GA
05
—
107477
—
GA
05
—
165930
—
GA
05
—
9179575
—
GA
Enumeration date
03/19/2008
Last updated
03/19/2008
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