| Family Smiles Dental | |
|
59 Hillside Trce Suite 105 Dallas GA 30157-9476 | |
| (770) 505-4746 | |
| (770) 505-0047 |
| Full Name | Family Smiles Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 59 Hillside Trce, Dallas, Georgia |
| Authorized Official Name and Position | Andrew Zamora (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7705054746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Smiles Dental 59 Hillside Trce Suite 105 Dallas GA 30157-9476 Ph: (770) 505-4746 | Family Smiles Dental 59 Hillside Trce Suite 105 Dallas GA 30157-9476 Ph: (770) 505-4746 |
| NPI Number | 1699914721 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914721 | NPI | - | NPPES |
| 643671594B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012616 (Georgia) | Primary |
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