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1467277228
PROVIDENCE DENTAL SPA OF EAST COBB, LLC
MARIETTA, GA
NPI
1467277228
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Entity Type
Organization
Authorized Contact
HEATHER TAYLOR
Director
470-309-8888
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
PROVIDENCE DENTAL SPA OF EAST COBB, LLC
670 JOHNSON FERRY RD
MARIETTA, GA 30068-4627
Phone number: 678-801-6700
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Mailing Address
PROVIDENCE DENTAL SPA OF EAST COBB, LLC
670 JOHNSON FERRY RD
MARIETTA, GA 30068-4627
Phone number: 678-801-6700
Copy
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