Organization
DEVAN DENTAL LLC
Active
Other names
Heard & Heard Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PHILLIPS (PRACTICE MANAGER)
(770) 987-3430
Entity
Organization
Contact information
Practice address
4806 FLAT SHOALS PKWY, DECATUR, GA 30034-5205
(770) 987-3430
Mailing address
4806 FLAT SHOALS PKWY, DECATUR, GA 30034-5205
(770) 987-3430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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