| Agape Pediatric Dentistry | |
|
5185 Peachtree Pkwy Ste 325 Peachtree Corners GA 30092-6541 | |
| (678) 831-5437 | |
| Not Available |
| Full Name | Agape Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5185 Peachtree Pkwy Ste 325, Peachtree Corners, Georgia |
| Authorized Official Name and Position | Gia S. Grannum (CEO) |
| Authorized Official Contact | 6788315437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Pediatric Dentistry 5185 Peachtree Pkwy Ste 325 Peachtree Corners GA 30092-6541 Ph: (678) 831-5437 | Agape Pediatric Dentistry 5185 Peachtree Pkwy Ste 325 Peachtree Corners GA 30092-6541 Ph: (678) 831-5437 |
| NPI Number | 1629830534 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629830534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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