Organization
KOOL SMILES PTC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE GARY MAYFIELD DMD (DENTIST)
(678) 904-5665
Entity
Organization
Contact information
Practice address
400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 30339-5980
(678) 904-5665
Mailing address
400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 30339-5980
(678) 904-5665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011874
GA
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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