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1164145827
BLOSSOM PEDIATRIC DENTISTRY, LLC
SUWANEE, GA
NPI
1164145827
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Entity Type
Organization
Authorized Contact
WHITNEY LYONS
Owner/Dentist
770-609-5603
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2022-09-19
Last Update Date
2023-08-03
Business Address
BLOSSOM PEDIATRIC DENTISTRY, LLC
345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103
SUWANEE, GA 30024-8819
Phone number: 770-609-5603
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Mailing Address
BLOSSOM PEDIATRIC DENTISTRY, LLC
345 PEACHTREE INDUSTRIAL BLVD STE 1102
SUWANEE, GA 30024-8823
Phone number: 770-609-4722
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