| 99 Mockingbird Dental Llc | |
|
99 Mockingbird Dr Cartersville GA 30120-2826 | |
| (770) 386-3908 | |
| Not Available |
| Full Name | 99 Mockingbird Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 99 Mockingbird Dr, Cartersville, Georgia |
| Authorized Official Name and Position | Elijah Stephens (DOCTOR/OWNER) |
| Authorized Official Contact | 9125808511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 99 Mockingbird Dental Llc 117 Northampton Dr Canton GA 30115-6015 Ph: () - | 99 Mockingbird Dental Llc 99 Mockingbird Dr Cartersville GA 30120-2826 Ph: (770) 386-3908 |
| NPI Number | 1265259659 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265259659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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