GA SOUTHERN DENTAL LLC

ATLANTA, GA
NPI1922835321
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-09-18
Last Update Date2024-09-18
Business Address
GA SOUTHERN DENTAL LLC
950 W PEACHTREE ST NW STE 245
ATLANTA, GA 30309-3864
Phone number: 404-381-8586
Mailing Address
GA SOUTHERN DENTAL LLC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6137
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