Organization
ATLANTA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY JEON DMD (OWNER)
(770) 850-8442
Entity
Organization
Contact information
Practice address
2394 COBB PKWY SE, SMYRNA, GA 30080-3061
(770) 850-8442
(770) 850-8052
Mailing address
2394 COBB PKWY SE, SMYRNA, GA 30080-3061
(770) 850-8442
(770) 850-8052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO13196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733999822A
—
GA
Enumeration date
08/26/2009
Last updated
08/26/2009
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