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1205211133
FABULOUS SMILES OF LILBURN
LILBURN, GA
NPI
1205211133
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Entity Type
Organization
Authorized Contact
NIKKI ROLLS
Office Manager
770-557-0788
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: GA DN011973)
Enumeration Date
2015-07-21
Last Update Date
2015-07-21
Business Address
FABULOUS SMILES OF LILBURN
331 ARCADO RD NW
LILBURN, GA 30047-3077
Phone number: 770-557-0788
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Mailing Address
FABULOUS SMILES OF LILBURN
331 ARCADO RD NW
LILBURN, GA 30047-3077
Phone number: 770-557-0788
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