Organization
RAGAN L FALER, DMD, PC
Active
Other names
Eagles Landing Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RAGAN L FALER DMD (PRESIDENT)
(678) 289-0382
Entity
Organization
Contact information
Practice address
239 VILLAGE CENTER PKWY, SUITE 200, STOCKBRIDGE, GA 30281-9024
(678) 289-0382
(678) 289-0383
Mailing address
239 VILLAGE CENTER PKWY, SUITE 200, STOCKBRIDGE, GA 30281-9024
(678) 289-0382
(678) 289-0383
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012726
GA
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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