Conyers Dental Associates, LLC

NPI #1447796560 in Conyers, Georgia

Provider Information

NPI Number: 1447796560
Entity Type: Organization
Organization Name: Conyers Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 12, 2017
Last Updated: Jan 12, 2017

Practice Location

Address: 1455 OLD MCDONOUGH HWY SE
Address 2: SUITE B
City: Conyers
State: Georgia
ZIP Code: 30094-5979
Phone: (770) 483-6655

Authorized Official

Name: DR. SHAWN A WALLS, DDS
Title: OWNER
Phone: (404) 444-8485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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