Infinite Smiles 2 LLC
NPI #1043082571 in Johns Creek, Georgia
Provider Information
- NPI Number
- 1043082571
- Entity Type
- Organization
- Organization Name
- Infinite Smiles 2 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 27, 2023
- Last Updated
- Oct 27, 2023
Practice Location
- Address
- 9700 MEDLOCK BRIDGE RD STE 108
- City
- Johns Creek
- State
- Georgia
- ZIP Code
- 30097-4408
- Phone
- (770) 609-1281
Authorized Official
- Name
- MICAJAH J VICKERS
- Title
- MEMBER
- Phone
- (404) 432-9922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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