Organization
LITHONIA RESTORATIVE AND COSMETIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MOSLEY (DENTIST)
(770) 593-8249
Entity
Organization
Contact information
Practice address
6118 COVINGTON HWY STE E, LITHONIA, GA 30058-8379
(770) 593-8249
(770) 323-6887
Mailing address
6118 COVINGTON HWY STE E, LITHONIA, GA 30058-8379
(770) 593-8249
(770) 323-6887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9955
GA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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