Organization
DEBRA GRAY KING, DDS PC
Active
Other names
Atlanta Center for Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA G KING (OWNER)
(404) 847-9711
Entity
Organization
Contact information
Practice address
5014 ROSWELL RD NE, ATLANTA, GA 30342
(404) 847-9711
(404) 303-8867
Mailing address
5014 ROSWELL RD NE, ATLANTA, GA 30342
(404) 847-9711
(404) 303-8867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10490
GA
122300000X
Dentist
DN010442
GA
1223P0700X
Prosthodontics
DN012440
GA
Other
Enumeration date
12/10/2007
Last updated
10/02/2014
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