Alpha Cosmetic Dentistry

NPI #1891984373 in Suwanee, Georgia

Provider Information

NPI Number: 1891984373
Entity Type: Organization
Organization Name: Alpha Cosmetic Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 4055 JOHNS CREEK PKWY
Address 2: SUITE B
City: Suwanee
State: Georgia
ZIP Code: 30024-1299
Phone: (678) 436-1300

Authorized Official

Name: ANISA LEE HAILEY, D.M.D.
Title: PRESIDENT & CHIEF SMILE ARCHITECT
Phone: (678) 436-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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