Organization
NEIL R. CORNELL, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL R CORNELL (BUSINESS OWNER)
(404) 636-5646
Entity
Organization
Contact information
Practice address
3040 BRIARCLIFF RD NE, ATLANTA, GA 30329-2602
(404) 636-5646
Mailing address
3040 BRIARCLIFF RD NE, ATLANTA, GA 30329-2602
(404) 636-5646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012098
GA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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