Individual
CALEB SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1871 WASHINGTON AVE, EAST POINT, GA 30344-4128
(404) 761-7297
Mailing address
2829 SCENIC TER, EAST POINT, GA 30344-5841
(404) 762-7572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9473
GA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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