Organization
FAYETTEVILLE SMILES DENTISTRY, PC
Active
Other names
Fayetteville Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER)
(770) 953-6975
Entity
Organization
Contact information
Practice address
117 PAVILION PKWY, SUITE 15B, FAYETTEVILLE, GA 30214-7732
(770) 953-6975
(770) 953-6979
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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