Organization
BEAUTIFUL SMILES OF FAYETTEVILLE
Active
Other names
Trinity Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCKOY DDS (CFO)
(404) 696-6595
Entity
Organization
Contact information
Practice address
719 LANIER AVE W STE A1, FAYETTEVILLE, GA 30214-7634
(404) 696-6595
Mailing address
719 W. LANIER AVENUE SUITE A1, FAYETTEVILLE, GA 30214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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