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3435 Lenox Rd. Ne Atlanta GA 30328 | |
| (404) 325-9000 | |
| (770) 446-1354 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3435 Lenox Rd. Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Valencia J Warner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7704468000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1650 Oakbrook Dr Suite 440 Norcross GA 30093 Ph: (770) 446-8000 | 3435 Lenox Rd. Ne Atlanta GA 30328 Ph: (404) 325-9000 |
| NPI Number | 1770830689 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770830689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7981 (Georgia) | Primary |
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