Organization
NORTH ATLANTA AESTHETIC DENTISTRY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY SHAWN GURLEY DDS (DOCTOR/OWNER)
(770) 664-1244
Entity
Organization
Contact information
Practice address
4165 OLD MILTON PARKWAY, SUITE 140, ALPHARETTA, GA 30005
(770) 664-1244
(770) 695-0143
Mailing address
4165 OLD MILTON PARKWAY, SUITE 140, ALPHARETTA, GA 30005
(770) 664-1244
(770) 695-0143
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN011186
GA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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