Ccsd-Dacula, LLC
NPI #1932754223 in Dacula, Georgia
Provider Information
- NPI Number
- 1932754223
- Entity Type
- Organization
- Organization Name
- Ccsd-Dacula, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 5, 2019
- Last Updated
- Nov 27, 2023
Practice Location
Authorized Official
- Name
- RACHEL SMALLWOOD
- Title
- OFFICE MANAGER
- Phone
- (770) 995-1957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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