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Organization

PEDIATRIC DENTAL SPECIALIST OF ACWORTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINDY L SIMMS DMD (OWNER / DR)
(330) 933-7280
Entity
Organization

Contact information

Practice address
10166 DALLAS ACWORTH HWY, SUITE 109, DALLAS, GA 30132
(770) 230-7020
Mailing address
320 LYNN DR, HIRAM, GA 30141-4639
(330) 933-7280

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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