Decatur Family Denture Center
Dentist, General Practice in Decatur, GA. Organization (NPI-2).
NPI number1760637698
StatusActive
Last updated in NPPESJan 15, 2010
Details
- NPI
- 1760637698
- Entity type
- Organization (NPI-2)
- Legal business name
- Decatur Family Denture Center
- Organization subpart
- No
- Enumeration date
- Nov 19, 2008
- Last updated
- Jan 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2458 Wesley Chapel RdSuite B
Decatur, GA 30035-3423
Phone 770-322-0059
Mailing address
2458 Wesley Chapel RdSte B
Decatur, GA 30035
Phone 770-322-0059 · Fax 770-322-0509
Authorized official
Cassius Belmore
Owner
7703220059
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All 99 General Practice Dentistry providers in Decatur · All 6,698 providers in Decatur
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