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1316581283
SMILE PARLOR LLC
LOCUST GROVE, GA
NPI
1316581283
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Entity Type
Organization
Authorized Contact
DAVID MARCEL JENKINS
Owner
770-866-2080
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-11-04
Last Update Date
2019-12-17
Business Address
SMILE PARLOR LLC
2714 HIGHWAY 155
LOCUST GROVE, GA 30248-2401
Phone number: 470-502-0820
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Mailing Address
SMILE PARLOR LLC
2714 HIGHWAY 155
LOCUST GROVE, GA 30248-2401
Phone number: 470-502-0820
Copy
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