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4687 S Atlanta Rd Se Suite 214 Vinings GA 30339-1509 | |
| (404) 799-8499 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4687 S Atlanta Rd Se, Vinings, Georgia |
| Authorized Official Name and Position | Amon A Measows (OWNER) |
| Authorized Official Contact | 4047998499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4687 S Atlanta Rd Se Suite 214 Vinings GA 30339-1509 Ph: (404) 799-8499 | 4687 S Atlanta Rd Se Suite 214 Vinings GA 30339-1509 Ph: (404) 799-8499 |
| NPI Number | 1699200774 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699200774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011763 (Georgia) | Primary |