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1457499642
GREAT SMILE DENTAL
MARIETTA, GA
NPI
1457499642
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Entity Type
Organization
Authorized Contact
SUPRITI BALYAN
CEO
770-565-1010
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 011733)
Enumeration Date
2007-02-01
Last Update Date
2010-03-29
Business Address
GREAT SMILE DENTAL
2145 ROSWELL RD STE 120
MARIETTA, GA 30062-0821
Phone number: 770-565-1010
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Mailing Address
GREAT SMILE DENTAL
2145 ROSWELL RD STE 120
MARIETTA, GA 30062-0821
Phone number: 770-565-1010
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