Organization
DIVINE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLARERA AJOSE-ADEOGUN (OWNER)
(678) 364-2939
Entity
Organization
Contact information
Practice address
6141 PEACHTREE PKWY, NORCROSS, GA 30092-3304
(678) 364-2939
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/13/2023
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