Organization
SMILE ZONE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH PARKER DDS (DENTIST/OWNER)
(770) 484-8535
Entity
Organization
Contact information
Practice address
8225 MALL PKWY STE 200, LITHONIA, GA 30038-6995
(770) 484-8535
(770) 484-8536
Mailing address
8225 MALL PKWY STE 200, LITHONIA, GA 30038-6995
(770) 484-8535
(770) 484-8536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698559902A
—
GA
Enumeration date
08/14/2014
Last updated
08/14/2014
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