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1174832802
YOUNG SMILES DENTISTRY FOR KIDS
POWDER SPRINGS, GA
NPI
1174832802
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Entity Type
Organization
Authorized Contact
KEVIN R JACKSON
Dentist
770-222-1344
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
YOUNG SMILES DENTISTRY FOR KIDS
4150 MACLAND RD SUITE 205
POWDER SPRINGS, GA 30127-1202
Phone number: 770-222-1344
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Mailing Address
YOUNG SMILES DENTISTRY FOR KIDS
4150 MACLAND RD SUITE 205
POWDER SPRINGS, GA 30127-1202
Phone number: 770-222-1344
Copy
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