Organization
KOOL SMILES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIEN CHI PHAM DDS (OWNER)
(404) 229-6898
Entity
Organization
Contact information
Practice address
2113 BEMISS ROAD, VALDOSTA, GA 31602
(800) 920-9947
(678) 904-5666
Mailing address
400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 30339-5980
(770) 916-5028
(678) 302-7485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012573
GA
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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