Organization
MONROE FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL TSUR-TSAR D.D.S. (OWNER)
(770) 266-7188
Entity
Organization
Contact information
Practice address
2120 W SPRING ST STE 1100, MONROE, GA 30655-3900
(770) 266-7188
(770) 266-7159
Mailing address
2120 W SPRING ST STE 1100, MONROE, GA 30655-3900
(770) 266-7188
(770) 266-7159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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