Organization
BROOKHAVEN DENTAL ASSOCIATES
Active
Other names
Brookhaven Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ERLER (PRACTICE DIRECTOR)
(404) 971-3889
Entity
Organization
Contact information
Practice address
1407 DRESDEN DR NE STE 200, BROOKHAVEN, GA 30319-3580
(404) 971-3889
(678) 399-2094
Mailing address
1407 DRESDEN DR NE STE 200, BROOKHAVEN, GA 30319-3580
(404) 971-3889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255385696
DR. ROMAN CIBIRKA
MI
01
—
1538547872
DR. LUSHA XU
OH
Enumeration date
05/06/2025
Last updated
05/06/2025
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