Organization
BUFORD HWY FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIANNE NICOLE DYE (OFFICE MANAGER)
(770) 986-2600
Entity
Organization
Contact information
Practice address
5659 BUFORD HWY NE, #208, DORAVILLE, GA 30340-1200
(770) 986-2600
(770) 986-5260
Mailing address
5659 BUFORD HWY NE, #208, DORAVILLE, GA 30340-1200
(770) 986-2600
(770) 986-5260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13219
GA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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