Organization
K SMILES DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAIM KALANTAROV (PRESIDENT)
(404) 242-6483
Entity
Organization
Contact information
Practice address
1096 ALPHARETTA ST, ROSWELL, GA 30075-3632
(404) 242-6483
Mailing address
1096 ALPHARETTA ST, ROSWELL, GA 30075-3632
(404) 242-6483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012445
GA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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