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
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 - DentalDental

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