Organization
BEAUTIFUL SMILES AT MLK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCKOY (CEO)
(678) 517-8368
Entity
Organization
Contact information
Practice address
3695 CASCADE RD SW STE V, ATLANTA, GA 30331-2146
(404) 696-6595
Mailing address
3050 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311-1500
(678) 517-8368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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