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Organization

SNELLVILLE SMILES DENTISTRY, PC

Active
Other names
SNELLVILLE SMILES DENTISTRY
Organization subpart
No

Provider details

NPI number
Authorized official
ISIOMA ANIZOR DDS (OWNER)
(770) 844-9454
Entity
Organization

Contact information

Practice address
1830 SCENIC HWY S, SUITE 210, SNELVILLE, GA 30078
(770) 844-9454
(770) 844-9125
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/08/2014
Last updated
05/11/2022
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