| Divine Dentistry Llc | |
|
6141 Peachtree Pkwy Norcross GA 30092-3304 | |
| (678) 364-2939 | |
| Not Available |
| Full Name | Divine Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6141 Peachtree Pkwy, Norcross, Georgia |
| Authorized Official Name and Position | Folarera Ajose-adeogun (OWNER) |
| Authorized Official Contact | 6783642939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Dentistry Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Divine Dentistry Llc 6141 Peachtree Pkwy Norcross GA 30092-3304 Ph: (678) 364-2939 |
| NPI Number | 1528752250 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528752250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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