Organization
SALON BAR LLC
Active
Other names
Salon Bar
Organization subpart
No
Provider details
NPI number
Authorized official
TORI BANKS (OWNER)
(404) 431-2791
Entity
Organization
Contact information
Practice address
4705 ASHFORD DUNWOODY RD # 4, DUNWOODY, GA 30338-5566
(404) 431-2791
Mailing address
3482 JOHNSON FERRY RD NE, ROSWELL, GA 30075-5214
(561) 271-7306
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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