Organization
ATLANTA WEST PERIODONTICS AND DENTAL IMPLANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LYNN CUSHMAN DDS (OWNER CEO)
(770) 739-5097
Entity
Organization
Contact information
Practice address
2168 SKYVIEW DRIVE, LITHIA SPRINGS, GA 30122
(770) 739-5097
(770) 739-0517
Mailing address
2168 SKYVIEW DRIVE, LITHIA SPRINGS, GA 30122
(770) 739-5097
(770) 739-0517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10752
GA
122300000X
Dentist
2901016263
MI
Other
Enumeration date
09/27/2006
Last updated
03/07/2023
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