Organization
DECATUR FAMILY DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIUS BELMORE (OWNER)
(770) 322-0059
Entity
Organization
Contact information
Practice address
2458 WESLEY CHAPEL RD, SUITE B, DECATUR, GA 30035-3423
(770) 322-0059
Mailing address
2458 WESLEY CHAPEL RD, STE B, DECATUR, GA 30035
(770) 322-0059
(770) 322-0509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
01/15/2010
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