| Devan Dental Llc | |
|
4806 Flat Shoals Pkwy Decatur GA 30034-5205 | |
| (770) 987-3430 | |
| Not Available |
| Full Name | Devan Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4806 Flat Shoals Pkwy, Decatur, Georgia |
| Authorized Official Name and Position | Donna Phillips (PRACTICE MANAGER) |
| Authorized Official Contact | 7709873430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devan Dental Llc 4806 Flat Shoals Pkwy Decatur GA 30034-5205 Ph: (770) 987-3430 | Devan Dental Llc 4806 Flat Shoals Pkwy Decatur GA 30034-5205 Ph: (770) 987-3430 |
| NPI Number | 1396213039 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396213039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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