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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

NPI # 1023149507
LBN Legal business name COMPREHENSIVE AESTHETIC & RESTORATIVE DENTISTRY LLC
Authorized official CHRISTOPHER RAUTENSTRAUCH - (OWNER LLC MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 9445
GA License # DN012537
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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