IDEALSMILE

COLUMBUS, GA
NPI1710130455
Entity TypeOrganization
Authorized ContactJAE H HAM
President
706-257-7374
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: GA  DN013040)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
IDEALSMILE
2501 WHITTLESEY BLVD SUITE B
COLUMBUS, GA 31909-3031
Phone number: 706-257-7374
Mailing Address
IDEALSMILE
2501 WHITTLESEY BLVD SUITE B
COLUMBUS, GA 31909-3031
Phone number: 706-257-7374
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