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1689152282
EASTLIGHT DENTAL, L.L.C.
STONE MOUNTAIN, GA
NPI
1689152282
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Entity Type
Organization
Authorized Contact
EDMUND THOMAS
Owner
716-949-2183
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-08-06
Last Update Date
2018-09-18
Business Address
EASTLIGHT DENTAL, L.L.C.
2536 ROCKBRIDGE RD STE 103
STONE MOUNTAIN, GA 30087-3636
Phone number: 678-395-5913
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Mailing Address
EASTLIGHT DENTAL, L.L.C.
2536 ROCKBRIDGE RD STE 103
STONE MOUNTAIN, GA 30087-3636
Phone number: 678-395-5913
Copy
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