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1366125395
PARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC
FAYETTEVILLE, GA
NPI
1366125395
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Entity Type
Organization
Authorized Contact
TARVORIA RUSS
Operations Manager
404-631-7303
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
PARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC
155 CARNEGIE PL STE 201A
FAYETTEVILLE, GA 30214-3981
Phone number: 678-228-4266
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Mailing Address
PARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC
155 CARNEGIE PL STE 201A
FAYETTEVILLE, GA 30214-3981
Phone number: 678-228-4266
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