| Canton Marketplace Dentistry Llc | |
|
1810 Cumming Hwy Ste 900 Canton GA 30115-2999 | |
| (770) 780-2465 | |
| (678) 880-0059 |
| Full Name | Canton Marketplace Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1810 Cumming Hwy Ste 900, Canton, Georgia |
| Authorized Official Name and Position | Poya M Moghadam (OWNER) |
| Authorized Official Contact | 6788800087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Marketplace Dentistry Llc 1810 Cumming Hwy Ste 900 Canton GA 30115-2999 Ph: (678) 880-0087 | Canton Marketplace Dentistry Llc 1810 Cumming Hwy Ste 900 Canton GA 30115-2999 Ph: (770) 780-2465 |
| NPI Number | 1891267316 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891267316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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