Organization
AUSTELL DENTISTRY ASSOCIATES LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 467-3888
Mailing address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 467-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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