Organization
JOE L. WELLS, JR., DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE L. WELLS JR. DDS (OWNER)
(404) 289-6454
Entity
Organization
Contact information
Practice address
4324 COVINGTON HIGHWAY, DECATUR, GA 30035
(404) 289-6454
Mailing address
PO BOX 736, LITHONIA, GA 30058
(404) 289-6454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
010527
GA
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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