Organization
PEDIATRIC DENTAL SPECIALISTS OF GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANESHIA CAMP DMD (OFFICER)
(404) 822-6865
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 200, DECATUR, GA 30030-2483
(404) 381-1840
(404) 341-9488
Mailing address
315 W PONCE DE LEON AVE STE 200, DECATUR, GA 30030-2483
(404) 381-1840
(404) 341-9488
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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