Organization
DENTAL SMILES OF AMERICA LLC
Active
Other names
Dental Smiles At Dacula
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVANG SHAH DMD (DENTIST/OWNER MEMBER)
(678) 495-9500
Entity
Organization
Contact information
Practice address
1325 AUBURN RD, DACULA, GA 30019
(678) 495-9500
(678) 495-9501
Mailing address
1325 AUBURN RD, DACULA, GA 30019-1121
(678) 495-9500
(678) 495-9501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013630
GA
Other
Enumeration date
06/20/2012
Last updated
05/16/2016
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