| Smiles Of Decatur P.c. | |
|
2458 Wesley Chapel Rd Ste B Decatur GA 30035-3423 | |
| (770) 322-0059 | |
| Not Available |
| Full Name | Smiles Of Decatur P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2458 Wesley Chapel Rd Ste B, Decatur, Georgia |
| Authorized Official Name and Position | Mauzard Benjamin (CEO) |
| Authorized Official Contact | 7703220059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Decatur P.c. 2458 Wesley Chapel Rd Ste B Decatur GA 30035-3423 Ph: (770) 322-0059 | Smiles Of Decatur P.c. 2458 Wesley Chapel Rd Ste B Decatur GA 30035-3423 Ph: (770) 322-0059 |
| NPI Number | 1780036848 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780036848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 013549 (Georgia) | Primary |
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