Organization
SHINING SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILA MOHIP CHAHWALA DDS (OWNER)
(678) 469-3064
Entity
Organization
Contact information
Practice address
5041 DALLAS HWY BLDG 1E, POWDER SPRINGS, GA 30127-6424
(770) 420-8550
(770) 420-8544
Mailing address
5041 DALLAS HWY BLDG 1E, POWDER SPRINGS, GA 30127-6424
(770) 420-8550
(770) 420-8544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013834
GA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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