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Organization

ALPHARETTA PERIODONTICS & DENTAL IMPLANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization

Contact information

Practice address
3400A OLD MILTON PKWY STE 460, ALPHARETTA, GA 30005-4438
(770) 410-7565
Mailing address
3400A OLD MILTON PKWY STE 460, ALPHARETTA, GA 30005-4438
(770) 410-7565

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/04/2025
Last updated
04/04/2025
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