Organization
OAKWOOD FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHUSHBU MODY (OWNER)
(832) 622-6290
Entity
Organization
Contact information
Practice address
3885 MUNDY MILL RD STE 116, OAKWOOD, GA 30566-3432
(832) 622-6290
Mailing address
2302 PARKLAKE DR NE STE 513 #479, ATLANTA, GA 30345-2896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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