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Organization

DENTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLAY L HEILPERN MD (PRESIDENT)
(404) 874-8744
Entity
Organization

Contact information

Practice address
1545 PEACHTREE ST NE STE 100, ATLANTA, GA 30309-2417
(404) 874-8744
Mailing address
1545 PEACHTREE ST NE STE 100, ATLANTA, GA 30309-2417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA

Other

Enumeration date
06/22/2018
Last updated
06/22/2018
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