Organization
ATL CENTER FOR COSMETIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
5014 ROSWELL RD, ATLANTA, GA 30342-2207
(404) 847-9711
Mailing address
5014 ROSWELL RD, ATLANTA, GA 30342-2207
(404) 847-9711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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