| Children And Teen Dental Group, Pc | |
|
285 Elm St Cumming GA 30040-8233 | |
| (770) 744-4581 | |
| Not Available |
| Full Name | Children And Teen Dental Group, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 285 Elm St, Cumming, Georgia |
| Authorized Official Name and Position | Douglas G. Hiser (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 7707444581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Dental Group, Pc 285 Elm St Cumming GA 30040-8233 Ph: (770) 744-4581 | Children And Teen Dental Group, Pc 285 Elm St Cumming GA 30040-8233 Ph: (770) 744-4581 |
| NPI Number | 1972991248 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972991248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 011988 (Georgia) | Primary |
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