Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Chapel Hill Family and Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3000 CHAPEL HILL RD STE 104, DOUGLASVILLE, GA 30135-1841
(770) 920-0112
Mailing address
3000 CHAPEL HILL RD STE 104, DOUGLASVILLE, GA 30135-1841
(770) 920-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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