Organization
FAMILY AND CHILDREN'S DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY EDWARDS BEAL (OWNER)
(404) 349-7777
Entity
Organization
Contact information
Practice address
2440 FAIRBURN RD SW STE 301, ATLANTA, GA 30331-5255
(404) 349-7777
(404) 349-8459
Mailing address
2440 FAIRBURN RD SW STE 301, ATLANTA, GA 30331-5255
(404) 349-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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