Organization
BROOKHAVEN VILLAGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA SCARLETT DMD (DENTIST)
(404) 486-7661
Entity
Organization
Contact information
Practice address
2814 BUFORD HWY NE, BROOKHAVEN, GA 30329-2103
(404) 683-2444
Mailing address
4513 WIEUCA RD NE, ATLANTA, GA 30342-3357
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
07/29/2024
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