Organization
SOUTHERN SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER BOURBIA DDS (DENTIST)
(404) 454-1362
Entity
Organization
Contact information
Practice address
6000 JOE FRANK HARRIS PKWY NW, ADAIRSVILLE, GA 30103-2443
(404) 454-1362
Mailing address
6000 JOE FRANK HARRIS PKWY NW, ADAIRSVILLE, GA 30103-2443
(404) 454-1362
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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