Organization
THOMAS DENTAL GROUP
Active
Parent organization
WEST COBB SMILES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST COBB SMILES
Authorized official
MRS. TERESA TARD (BUSINESS MANAGER)
(770) 333-9951
Entity
Organization
Contact information
Practice address
1133 EAST WEST CONNECTOR, SUITE 120, AUSTELL, GA 30106
(770) 333-9951
Mailing address
1133 EAST WEST CONNECTOR, SUITE 120, AUSTELL, GA 30106
(770) 333-9951
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013527
GA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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