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1235298274
CHILDRENS DENTISTRY OF AUSTELL
AUSTELL, GA
NPI
1235298274
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Entity Type
Organization
Authorized Contact
BRIAN SMITH
Controller
678-445-5444
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2006-12-06
Last Update Date
2020-08-22
Business Address
CHILDRENS DENTISTRY OF AUSTELL
1678 MULKEY RD STE D
AUSTELL, GA 30106
Phone number: 678-445-5444
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Mailing Address
CHILDRENS DENTISTRY OF AUSTELL
PO BOX 195
WOODSTOCK, GA 30188
Phone number: 678-445-5444
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