Organization
THEODIS ELZIE, D.D.S., P.C.
Active
Other names
Brighten Your Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THEODIS ELZIE D.D.S. (PRESIDENT)
(770) 801-1641
Entity
Organization
Contact information
Practice address
705 WINDY HILL RD SE, SMYRNA, GA 30080-1854
(770) 808-1641
(770) 801-0587
Mailing address
705 WINDY HILL RD SE, SMYRNA, GA 30080-1854
(770) 808-1641
(770) 801-0587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010679
GA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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