Organization
ALPHA COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISA LEE HAILEY D.M.D. (PRESIDENT & CHIEF SMILE ARCHITECT)
(678) 436-1300
Entity
Organization
Contact information
Practice address
4055 JOHNS CREEK PKWY, SUITE B, SUWANEE, GA 30024-1299
(678) 436-1300
(678) 436-1303
Mailing address
4055 JOHNS CREEK PKWY, SUITE B, SUWANEE, GA 30024-1299
(678) 436-1300
(678) 436-1303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012026
GA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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