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Contact Information

COMPREHENSIVE AESTHETIC & RESTORATIVE DENTISTRY LLC
113 TOWNE LAKE PKWY
STE 110
WOODSTOCK, GA30188
 Phone: 770-928-3055
 Fax: 770-928-1255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE AESTHETIC RESTORATIVE DENTISTRY LLC · (Female)

NPI Number 1023149507
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 9445
  • GA License # DN012537
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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