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Organization summary

• NPI
  1902695521
• Name
  GA Southern Dental PPO
• Account Contact
  Erika Menjivar
• Address
  365 VILLA RICA WAY SW, MARIETTA, GA, 30064-5727
• Phone
  770-428-1999
• Specialties
  Dentist
• NPPES Last Updated
  2025-05-01

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