Organization
ATLANTA DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN PADOLSKY DDS (PRESIDENT)
(404) 874-7428
Entity
Organization
Contact information
Practice address
1624 PIEDMONT AVE NE, ATLANTA, GA 30324-5240
(404) 874-7428
(770) 641-7827
Mailing address
1624 PIEDMONT AVE NE, ATLANTA, GA 30324-5240
(404) 874-7428
(770) 641-7827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GA9576
GA
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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