Provider First Line Business Practice Location Address:
10367 TARA BLVD
Provider Second Line Business Practice Location Address:
ALLSMILES DENTISTRY, P.C.
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30236-6536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-472-7070
Provider Business Practice Location Address Fax Number:
770-472-0007
Provider Enumeration Date:
06/26/2006