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Organization

SMOKE RISE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN A. ABDEL- MOETI (DOCTOR)
(770) 923-5500
Entity
Organization

Contact information

Practice address
5500 LILBURN STONE MOUNTAIN RD STE A, STONE MOUNTAIN, GA 30087-2873
(770) 923-5500
(770) 923-0044
Mailing address
5500 LILBURN STONE MOUNTAIN RD STE A, STONE MOUNTAIN, GA 30087-2873
(770) 923-5500
(770) 923-0044

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 013813
GA

Other

Enumeration date
03/25/2010
Last updated
03/25/2010
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