Organization
SMILE ENVY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LOFTERS D.D.S. (OWNER)
(202) 422-8116
Entity
Organization
Contact information
Practice address
4300 PACES FERRY RD SE, SUITE 333, ATLANTA, GA 30339-5703
(281) 566-2554
(281) 271-8617
Mailing address
4300 PACES FERRY RD SE, SUITE 333, ATLANTA, GA 30339-5703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN012798
GA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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