Organization
WESTSIDE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANAEL COLE DMD (OWNER)
(470) 548-2962
Entity
Organization
Contact information
Practice address
929 LEE ST SW, SUITE A240, ATLANTA, GA 30310
(859) 620-7587
Mailing address
698 LEXINGTON AVE SW, ATLANTA, GA 30310-3536
(859) 620-7587
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
04/26/2023
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