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1891280673
FAIRVIEW DENTAL LLC
ELLENWOOD, GA
NPI
1891280673
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Entity Type
Organization
Authorized Contact
AMI PATEL
Dentist
281-728-5042
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: GA DN015055)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
FAIRVIEW DENTAL LLC
210 FAIRVIEW RD
ELLENWOOD, GA 30294-2704
Phone number: 281-728-5042
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Mailing Address
FAIRVIEW DENTAL LLC
210 FAIRVIEW RD
ELLENWOOD, GA 30294-2704
Phone number: 281-728-5042
Copy
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