Organization
CCSD-DACULA, LLC
Active
Other names
Center for Cosmetic and Sedation Dentistry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SMALLWOOD (OFFICE MANAGER)
(770) 995-1957
Entity
Organization
Contact information
Practice address
420 DACULA RD, DACULA, GA 30019-2128
(770) 277-0800
Mailing address
420 DACULA RD, DACULA, GA 30019-2128
(770) 277-0800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
11/27/2023
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