Dentalwise, LLC

NPI #1316366271 in Lithia Springs, Georgia

Provider Information

NPI Number: 1316366271
Entity Type: Organization
Organization Name: Dentalwise, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2014
Last Updated: Apr 8, 2014

Practice Location

Address: 2635 LEE RD STE C4
City: Lithia Springs
State: Georgia
ZIP Code: 30122-3356
Phone: (770) 489-9141

Authorized Official

Name: DR. RANDALL LITTLE
Title: OWNER
Phone: (770) 853-9244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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