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1710130455
IDEALSMILE
COLUMBUS, GA
NPI
1710130455
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Entity Type
Organization
Authorized Contact
JAE H HAM
President
706-257-7374
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: GA DN013040)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
IDEALSMILE
2501 WHITTLESEY BLVD SUITE B
COLUMBUS, GA 31909-3031
Phone number: 706-257-7374
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Mailing Address
IDEALSMILE
2501 WHITTLESEY BLVD SUITE B
COLUMBUS, GA 31909-3031
Phone number: 706-257-7374
Copy
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