| Marietta Smile Gallery | |
|
3535 Roswell Rd Ste 3 Marietta GA 30062-8827 | |
| (770) 627-5598 | |
| Not Available |
| Full Name | Marietta Smile Gallery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3535 Roswell Rd Ste 3, Marietta, Georgia |
| Authorized Official Name and Position | Michael Thomas (OWNER) |
| Authorized Official Contact | 7064661796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Smile Gallery 3535 Roswell Rd Ste 3 Marietta GA 30062-8827 Ph: (770) 627-5598 | Marietta Smile Gallery 3535 Roswell Rd Ste 3 Marietta GA 30062-8827 Ph: (770) 627-5598 |
| NPI Number | 1538641162 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538641162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN014649 (Georgia) | Primary |
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