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Organization summary

• NPI
  1417783291
• Name
  GA Southern Dental PPO
• Account Contact
  Erika Menjivar
• Address
  1000 PEACHTREE INDUSTRIAL BLVD STE 10, SUWANEE, GA, 30024-1977
• Phone
  770-614-4666
• Specialties
  Dentist
• NPPES Last Updated
  2026-03-17

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