Smile Parlor LLC
NPI #1316581283 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1316581283
- Entity Type
- Organization
- Organization Name
- Smile Parlor LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 4, 2019
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 2714 HIGHWAY 155
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2401
- Phone
- (470) 502-0820
Authorized Official
- Name
- DAVID MARCEL JENKINS, DMD
- Title
- OWNER
- Phone
- (770) 866-2080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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