SMILE SOURCE ATLANTA EAST

STONE MOUNTAIN, GA
NPI1518622869
Entity TypeOrganization
Authorized ContactKEONKA M WILLIAMS
Business Manager
404-897-1699
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
SMILE SOURCE ATLANTA EAST
1147 S HAIRSTON RD STE A
STONE MOUNTAIN, GA 30088-2757
Phone number: 678-515-4200
Mailing Address
SMILE SOURCE ATLANTA EAST
1100 PEACHTREE ST NE STE 680
ATLANTA, GA 30309-4516
Phone number: 404-897-1699
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