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Organization

SENOIA FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAGAN FALER DMD (OWNER)
(678) 289-0382
Entity
Organization

Contact information

Practice address
42 MAIN ST, SUITE 3B, SENOIA, GA 30276-1889
(770) 599-4441
(770) 599-4442
Mailing address
42 MAIN ST, SUITE 3B, SENOIA, GA 30276-1889
(770) 599-4441
(770) 599-4442

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012740
GA
1223P0300X
Periodontics
DN012726
GA

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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