GA SOUTHERN DENTAL LLC

ATLANTA, GA
NPI1346068806
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
GA SOUTHERN DENTAL LLC
845 SPRING ST NW STE B1
ATLANTA, GA 30308-1051
Phone number: 404-685-3100
Mailing Address
GA SOUTHERN DENTAL LLC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number:
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