Old Milton Dental

NPI #1508085671 in Alpharetta, Georgia

Provider Information

NPI Number: 1508085671
Entity Type: Organization
Organization Name: Old Milton Dental
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4165 OLD MILTON PKWY
Address 2: SUITE 190
City: Alpharetta
State: Georgia
ZIP Code: 30005-4468
Phone: (678) 624-0370

Authorized Official

Name: DR. COREY J MAZER, DDS
Title: OWNER
Phone: (678) 624-0370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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