| Radiant Smiles Dental Of Chamblee Llc | |
|
4306 N Peachtree Road Chamblee GA 30314 | |
| (770) 455-1400 | |
| Not Available |
| Full Name | Radiant Smiles Dental Of Chamblee Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4306 N Peachtree Road, Chamblee, Georgia |
| Authorized Official Name and Position | Grace Wu Marhic (MANAGING PARTNER) |
| Authorized Official Contact | 4044551400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Dental Of Chamblee Llc 4306 N Peachtree Rd Chamblee GA 30341-1210 Ph: () - | Radiant Smiles Dental Of Chamblee Llc 4306 N Peachtree Road Chamblee GA 30314 Ph: (770) 455-1400 |
| NPI Number | 1255843520 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255843520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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