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1124373139
EXECUTIVE PARK DENTISTRY, P.C.
ATLANTA, GA
NPI
1124373139
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Entity Type
Organization
Authorized Contact
OMAR S DAMJI
Owner/Dentist
404-664-6876
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012967)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
EXECUTIVE PARK DENTISTRY, P.C.
17 EXECUTIVE PARK DR NE SUITE 100
ATLANTA, GA 30329-2251
Phone number: 404-633-0715
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Mailing Address
EXECUTIVE PARK DENTISTRY, P.C.
17 EXECUTIVE PARK DR NE SUITE 100
ATLANTA, GA 30329-2251
Phone number:
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