Organization
CENTER FOR COSMETIC AND SEDATION DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SMALLWOOD (OFFICE MANAGER)
(770) 995-1957
Entity
Organization
Contact information
Practice address
1030 DULUTH HIGHWAY, LAWRENCEVILLE, GA 30043
(770) 995-1957
(770) 995-8579
Mailing address
1030 DULUTH HIGHWAY, LAWRENCEVILLE, GA 30043
(770) 995-1957
(770) 995-8579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010916
GA
Other
Enumeration date
05/22/2007
Last updated
09/30/2022
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