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Organization

EDGEWOOD DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI ROLLS (INSURANCE MANAGER)
(404) 758-0770
Entity
Organization

Contact information

Practice address
545 EDGEWOOD AVE SE, ATLANTA, GA 30312-1936
(404) 589-0900
(404) 537-3107
Mailing address
545 EDGEWOOD AVE SE, ATLANTA, GA 30312-1936
(404) 589-0900
(404) 537-3107

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
GA

Other

Enumeration date
09/27/2012
Last updated
09/27/2012
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