| Westside Dental | |
|
3515 Dallas Hwy Sw Ste B Marietta GA 30064-1613 | |
| (770) 499-7005 | |
| (770) 499-7081 |
| Full Name | Westside Dental |
|---|---|
| Speciality | Dentist |
| Location | 3515 Dallas Hwy Sw Ste B, Marietta, Georgia |
| Authorized Official Name and Position | George Neal Goolsby (OWNER) |
| Authorized Official Contact | 7704997005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Dental 3515 Dallas Hwy Sw Ste B Marietta GA 30064-1613 Ph: (770) 499-7005 | Westside Dental 3515 Dallas Hwy Sw Ste B Marietta GA 30064-1613 Ph: (770) 499-7005 |
| NPI Number | 1649486028 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649486028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8787 (Georgia) | Primary |
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