Organization
BGP, PC
Active
Other names
Proud Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMPSON (CFO & PRACTICE MANAGER)
(404) 257-0091
Entity
Organization
Contact information
Practice address
5290 ROSWELL RD NE, SUITE F, ATLANTA, GA 30342-1978
(404) 257-0091
(404) 843-0264
Mailing address
5290 ROSWELL RD, SUITE F, ATLANTA, GA 30342-1978
(404) 257-0091
(404) 843-0264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010235
GA
Other
Enumeration date
10/25/2006
Last updated
05/10/2012
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