Alpha Cosmetic Dentistry
Dentist, General Practice in Suwanee, GA. Organization (NPI-2).
NPI number1891984373
StatusActive
Last updated in NPPESOct 19, 2007
Details
- NPI
- 1891984373
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Cosmetic Dentistry
- Organization subpart
- No
- Enumeration date
- Oct 19, 2007
- Last updated
- Oct 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN012026 | GA | Yes |
Practice location
4055 Johns Creek PkwySuite B
Suwanee, GA 30024-1299
Phone 678-436-1300 · Fax 678-436-1303
Mailing address
4055 Johns Creek PkwySuite B
Suwanee, GA 30024-1299
Phone 678-436-1300 · Fax 678-436-1303
Authorized official
Anisa Lee Hailey
President & Chief Smile Architect
6784361300
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