One Smile Away INC

NPI #1558797761 in Augusta, Georgia

Provider Information

NPI Number: 1558797761
Entity Type: Organization
Organization Name: One Smile Away INC
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2013
Last Updated: Sep 19, 2013

Practice Location

Address: 4159 ELDERS DR
City: Augusta
State: Georgia
ZIP Code: 30909-9145
Phone: (706) 231-0170

Authorized Official

Name: DR. TYJUAN MARCQUELL WILLIAMS, DMD
Title: OWNER
Phone: (706) 231-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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