| Smile 23 Georgia Llc | |
|
2265 Cascade Rd Sw Atlanta GA 30311-2861 | |
| (404) 755-8539 | |
| Not Available |
| Full Name | Smile 23 Georgia Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2265 Cascade Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Trevor Tune (CDO) |
| Authorized Official Contact | 6362331882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile 23 Georgia Llc 2265 Cascade Rd Sw Atlanta GA 30311-2861 Ph: (404) 755-8539 | Smile 23 Georgia Llc 2265 Cascade Rd Sw Atlanta GA 30311-2861 Ph: (404) 755-8539 |
| NPI Number | 1972263119 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972263119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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