Metro Dekalb Dental Group
NPI #1134372279 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1134372279
- Entity Type
- Organization
- Organization Name
- Metro Dekalb Dental Group
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 3, 2008
- Last Updated
- Nov 3, 2008
Practice Location
- Address
- 4849 MEMORIAL DR
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-4175
- Phone
- (404) 296-4119
Authorized Official
- Name
- GARY SIMMS, D.M.D.
- Title
- DENTIST
- Phone
- (404) 296-4119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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