GA SOUTHERN DENTAL LLC

ALPHARETTA, GA
NPI1417775909
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
950 N POINT PKWY STE 175
ALPHARETTA, GA 30005-8806
Phone number: 770-551-0808
Mailing Address
GA SOUTHERN DENTAL LLC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6137
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