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Organization

WESMILEDENTAL LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THAO PHAM DDM (OWNER)
(470) 702-9000
Entity
Organization

Contact information

Practice address
3979 BUFORD HWY NE STE 122, ATLANTA, GA 30345-1683
(470) 702-9000
(470) 225-7148
Mailing address
3979 BUFORD HWY NE STE 122, ATLANTA, GA 30345-1683
(470) 702-9000
(470) 225-7148

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/19/2023
Last updated
10/19/2023
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