Organization
POLISH DENTAL CENTER ALPHARETTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JAMISON DDS (OWNWER)
(202) 714-8433
Entity
Organization
Contact information
Practice address
4640 VALAIS CT STE 102, ALPHARETTA, GA 30022-2606
(770) 642-4711
Mailing address
692 LONDONBERRY RD, ATLANTA, GA 30327-4956
(202) 714-8433
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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