AVALA DENTAL PROVIDERS,LLC

LILBURN, GA
NPI1851729883
Doing Business AsPOLISH DENTAL CENTER,LLC
Entity TypeOrganization
Authorized ContactTIFFANY N JAMISON
Owner
770-696-4144
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: GA  DN014034)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
AVALA DENTAL PROVIDERS,LLC
629 A BEAVER RUIN RD
LILBURN, GA 30047
Phone number: 770-696-4144
Mailing Address
AVALA DENTAL PROVIDERS,LLC
629 A BEAVER RUIN RD
LILBURN, GA 30047
Phone number: 770-696-4144
Similar providers in Lilbu RN, GA