Organization
SMILE LEAGUE P.C.
Active
Other names
20/32 Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS HARVEY JR. DDS (DOCTOR/OWNER)
(202) 380-8828
Entity
Organization
Contact information
Practice address
80 PEYTON RD SW, ATLANTA, GA 30311-1710
(678) 732-0411
Mailing address
175 BERACAH WALK SW, ATLANTA, GA 30331-8514
(202) 380-8828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
GA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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