| Shining Smiles Family Dentistry | |
|
5041 Dallas Hwy Bldg 1e Powder Springs GA 30127-6424 | |
| (770) 420-8550 | |
| (770) 420-8544 |
| Full Name | Shining Smiles Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5041 Dallas Hwy Bldg 1e, Powder Springs, Georgia |
| Authorized Official Name and Position | Shaila Mohip Chahwala (OWNER) |
| Authorized Official Contact | 6784693064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Smiles Family Dentistry 5041 Dallas Hwy Bldg 1e Powder Springs GA 30127-6424 Ph: (770) 420-8550 | Shining Smiles Family Dentistry 5041 Dallas Hwy Bldg 1e Powder Springs GA 30127-6424 Ph: (770) 420-8550 |
| NPI Number | 1659826196 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659826196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013834 (Georgia) | Primary |
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