Organization
POWDER SPRINGS DENTISTRY FOR KIDS, LLC
Active
Other names
Powder Springs Dentistry for Kids, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LA SHANDIA BROOKS DDS (CEO/OWNER)
(678) 464-3094
Entity
Organization
Contact information
Practice address
4400 BROWNSVILLE RD STE 202, POWDER SPRINGS, GA 30127-8903
(678) 848-3742
Mailing address
4895 THOMPSON CT SE, SMYRNA, GA 30126-1997
(678) 464-3094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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