Organization
DENTAL HOME ATLANTA
Active
Other names
Dental Home @ Gwinnett Place
Organization subpart
No
Provider details
NPI number
Authorized official
HEN CHEN DDS (OWNER/DENTIST)
(770) 476-4140
Entity
Organization
Contact information
Practice address
3796 SATELLITE BLVD, SUITE #100, DULUTH, GA 30096
(770) 476-4140
(404) 900-1924
Mailing address
3796 SATELLITE BLVD, SUITE #100, DULUTH, GA 30096
(770) 476-4140
(404) 900-1924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003220690A
—
GA
Enumeration date
09/13/2019
Last updated
09/13/2019
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