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Organization

DENTFIRST, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAJUANA WARTES (CREDENTIALING MANAGER)
(770) 446-8000
Entity
Organization

Contact information

Practice address
680 MARKET PLACE BLVD.,, SUITE A, LOCUST GROVE, GA 30248
(770) 446-8000
Mailing address
1650 OAKBROOK DR STE 440, NORCROSS, GA 30093-1817
(770) 446-8000
(678) 701-3294

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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