Mouthpeace Dental 2, PC

NPI #1124552203 in Atlanta, Georgia

Provider Information

NPI Number: 1124552203
Entity Type: Organization
Organization Name: Mouthpeace Dental 2, PC
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 1833 DELOWE DR SW
Address 2: BUILDING A
City: Atlanta
State: Georgia
ZIP Code: 30311-4701
Phone: (404) 793-2570

Authorized Official

Name: SYRETTA WELLS, DDS
Title: OWNER
Phone: (404) 793-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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