Organization
SMILE WIT CONFIDENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY MUNOZ (GENERAL MANAGER)
(770) 629-6222
Entity
Organization
Contact information
Practice address
6465 TARA BLVD, JONESBORO, GA 30236-1214
(770) 629-6222
(678) 672-3131
Mailing address
6465 TARA BLVD, JONESBORO, GA 30236-1214
(770) 629-6222
(678) 672-3131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052452435
DENTAL INSURANCE
GA
01
—
DN008017
DENTAL INSURANCE
GA
Enumeration date
07/29/2019
Last updated
11/27/2023
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