Dental One Associates (college Park) LLC

NPI #1154454171 in Atlanta, Georgia

Provider Information

NPI Number: 1154454171
Entity Type: Organization
Organization Name: Dental One Associates (college Park) LLC
Primary Specialty: Dentist
Enumeration Date: Mar 13, 2007
Last Updated: Feb 22, 2011

Practice Location

Address: 1901 PHOENIX BLVD # 100
City: Atlanta
State: Georgia
ZIP Code: 30349-5588
Phone: (770) 991-0913

Authorized Official

Name: MIKE COLE
Title: INSURANCE DIRECTOR
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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