Organization
MOORES MILL MODERN DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE K MARSHALL DMD (OWNER)
(678) 369-0104
Entity
Organization
Contact information
Practice address
2250 MARIETTA BLVD, SUITE 300, ATLANTA, GA 30318
(678) 369-0104
(678) 203-2307
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
09/09/2021
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