Organization
CREATIVE DENTISTRY OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITHA REDDY DMD (OWNER)
(404) 883-3287
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD, SUITE 460, ATLANTA, GA 30342
(404) 883-3287
Mailing address
5505 PEACHTREE DUNWOODY RD, SUITE 460, ATLANTA, GA 30342
(404) 883-3287
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012610
GA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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