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Beautiful Smiles By Design

Dentist, General Practice in Calhoun, GA. Organization (NPI-2).

NPI number1053801134
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1053801134
Entity type
Organization (NPI-2)
Legal business name
Beautiful Smiles By Design
Organization subpart
No
Enumeration date
May 15, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice14848GAYes

Practice location

805 Red Bud Rd Ne
Calhoun, GA 30701-1968

Phone 706-625-8888 · Fax 205-718-8643

Mailing address

805 Red Bud Rd Ne
Calhoun, GA 30701-1968

Phone 706-625-8888 · Fax 205-718-8643

Authorized official

Kudzai Chikwava
Owner
7066258888

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