Organization
GENTLE TOUCH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE S INNISS (OFFICE MANAGER)
(770) 760-7566
Entity
Organization
Contact information
Practice address
1360 DOGWOOD DR SE, SUITE 202B, CONYERS, GA 30013-5075
(770) 760-7566
(770) 760-9238
Mailing address
1360 DOGWOOD DR SE, SUITE 202B, CONYERS, GA 30013-5075
(770) 760-7566
(770) 760-9238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012791
GA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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