Organization
CENTER FOR COSMETIC AND SEDATION DENTISTRY JOHNS CREEK, LLC
Active
Other names
Center For Cosmetic And Sedation Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TIDWELL (INSURANCE MANAGER)
(770) 995-1957
Entity
Organization
Contact information
Practice address
3440 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5525
(770) 475-0603
(770) 753-8893
Mailing address
3440 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
03/06/2023
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