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Organization

ATLANTA DENTAL SPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY ELSTON (CHIEF OPERATING OFFICER)
(586) 491-3861
Entity
Organization

Contact information

Practice address
2556 APPLE VALLEY RD NE STE 250, BROOKHAVEN, GA 30319-5432
(770) 998-3838
(678) 550-9639
Mailing address
2556 APPLE VALLEY RD NE STE 250, BROOKHAVEN, GA 30319-5432
(770) 998-3838
(678) 550-9639

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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