| Carolina Dental Docs On-the-go, Llc | |
|
112 Townpark Dr Nw Suite 100 Kennesaw GA 30144-3731 | |
| (404) 410-1340 | |
| Not Available |
| Full Name | Carolina Dental Docs On-the-go, Llc |
|---|---|
| Speciality | Dentist |
| Location | 112 Townpark Dr Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Jim Nasim (PRESIDENT) |
| Authorized Official Contact | 8646410495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Dental Docs On-the-go, Llc 111 Powell Mill Rd Spartanburg SC 29301-1590 Ph: (864) 641-0495 | Carolina Dental Docs On-the-go, Llc 112 Townpark Dr Nw Suite 100 Kennesaw GA 30144-3731 Ph: (404) 410-1340 |
| NPI Number | 1629444559 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629444559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2881 (South Carolina) | Primary |
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