Organization
IMPLANT AND AESTHETIC SPECIALISTS OF ATLANTA
Active
Other names
Brett R. Langston, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LANGSTON D.M.D. (OWNER)
(404) 321-4588
Entity
Organization
Contact information
Practice address
1991 N WILLIAMSBURG DR, DECATUR, GA 30033-3500
(404) 321-4588
(404) 321-1892
Mailing address
1991 N WILLIAMSBURG DR, DECATUR, GA 30033-3500
(404) 321-4588
(404) 321-1892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN013111
GA
1223P0700X
Prosthodontics
Primary
DN013111
GA
Other
Enumeration date
11/04/2014
Last updated
01/19/2015
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