Ga Sothern Dental PPO
Ga Sothern Dental PPO provides Dentist services in Marietta, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3911 Mary Eliza Trce NW Ste 100Marietta, GA 30064-1087
Phone: (770) 362-6417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1750117537 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ga Sothern Dental PPO |
| Authorized official | Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137 |
| Other names | Natural Smiles Dentistry |
| NPI enumerated | September 10, 2024 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 5830 Granite Pkwy Ste 780, Plano, TX 75024-6775 |
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