Organization
SUGAR HILL FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDA BUTLER (FRONT OFFICE ADMIN)
(678) 765-8650
Entity
Organization
Contact information
Practice address
5885 CUMMING HWY STE 104, SUGAR HILL, GA 30518-5687
(678) 765-8650
Mailing address
5885 CUMMING HWY STE 104, SUGAR HILL, GA 30518-5687
(678) 765-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321456
CODE
—
Enumeration date
03/11/2019
Last updated
03/11/2019
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