Organization
ACWORTH CENTER FOR DENTAL EXCELLENCE PC
Active
Other names
Cherokee Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAY KANSAL DMD (OWNER)
(770) 591-8446
Entity
Organization
Contact information
Practice address
6572 HIGHWAY 92 STE 120, ACWORTH, GA 30102-7553
(770) 951-8446
Mailing address
6572 HIGHWAY 92 STE 120, ACWORTH, GA 30102-7553
(770) 951-8446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013686
GA
Other
Enumeration date
01/30/2015
Last updated
02/09/2016
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