Organization
FOREST PARK DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK SUDEALL (DENTIST)
(404) 549-9752
Entity
Organization
Contact information
Practice address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 549-9752
(404) 549-2786
Mailing address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 549-9752
(404) 549-2786
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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