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30 Milton Ave Alpharetta GA 30009-1508 | |
| (770) 475-9630 | |
| (770) 475-7038 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Milton Ave, Alpharetta, Georgia |
| Authorized Official Name and Position | Stephen Paul Leafe (PRESIDENT) |
| Authorized Official Contact | 7704759630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
30 Milton Ave Alpharetta GA 30009-1508 Ph: (770) 475-9630 | 30 Milton Ave Alpharetta GA 30009-1508 Ph: (770) 475-9630 |
| NPI Number | 1003295650 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003295650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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