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1225299068
HEAVENLY DENTAL ASSOCIATES
COVINGTON, GA
NPI
1225299068
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Entity Type
Organization
Authorized Contact
HEAVENLY E KIMES
Owner
678-625-7505
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012304)
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
HEAVENLY DENTAL ASSOCIATES
3162 ELM ST NE
COVINGTON, GA 30014-2461
Phone number: 678-625-7505
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Mailing Address
HEAVENLY DENTAL ASSOCIATES
3162 ELM ST NE
COVINGTON, GA 30014-2461
Phone number: 678-625-7505
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