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Sea Of Pearls Dentistry LLC

Clinic/Center, Dental in Marietta, GA. Organization (NPI-2).

NPI number1689395337
StatusActive
Last updated in NPPESJan 27, 2023

Details

NPI
1689395337
Entity type
Organization (NPI-2)
Legal business name
Sea Of Pearls Dentistry LLC
Organization subpart
No
Enumeration date
Sep 9, 2022
Certification date
Jan 27, 2023
Last updated
Jan 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Sea Of Pearls Dental Boutique (Doing Business As)

Practice location

1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499

Phone 470-795-6677

Mailing address

1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499

Phone 470-795-6677 · Fax 470-795-6678

Authorized official

Daniela Oliveira Lemoine
Owner/Dentist
4707956677

Is something wrong?

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