Organization
MAIN STREET DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J SOLANO D.D.S. (PRESIDENT)
(404) 366-3724
Entity
Organization
Contact information
Practice address
848 MAIN ST, FOREST PARK, GA 30297-1465
(404) 366-3724
(404) 366-4271
Mailing address
848 MAIN ST, FOREST PARK, GA 30297-1465
(404) 366-3724
(404) 366-4271
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN012689
GA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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