| Cherokee Children's Dentistry | |
|
205 Waleska Rd Suite 2b Canton GA 30114-2493 | |
| (404) 479-1717 | |
| (404) 479-1747 |
| Full Name | Cherokee Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 205 Waleska Rd, Canton, Georgia |
| Authorized Official Name and Position | Jeffrey Miles Mazzawi (PRESIDENT) |
| Authorized Official Contact | 7702352288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Children's Dentistry 205 Waleska Rd Suite 2b Canton GA 30114-2493 Ph: (404) 479-1717 | Cherokee Children's Dentistry 205 Waleska Rd Suite 2b Canton GA 30114-2493 Ph: (404) 479-1717 |
| NPI Number | 1639362445 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639362445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012359 (Georgia) | Primary |
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