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Organization

JOSE-HERICK T NAPENAS

Active
Other names
West Georgia Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE NAPENAS DDS (OWNER)
(404) 344-8778
Entity
Organization

Contact information

Practice address
3030 HEADLAND DR SW, STE 300, ATLANTA, GA 30311-5439
(404) 344-8778
Mailing address
3030 HEADLAND DR SW, STE 300, ATLANTA, GA 30311-5439
(404) 344-8778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012901
GA
1223G0001X
General Practice Dentistry
DN013039
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101441495B
GA
05
101441495C
GA
05
101441495D
GA
Enumeration date
11/06/2008
Last updated
11/06/2008
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