| Cookie Dental & Orthodontics Llc | |
|
3100 Five Forks Trickum Rd Sw Ste 201 Lilburn GA 30047-1887 | |
| (770) 978-3292 | |
| Not Available |
| Full Name | Cookie Dental & Orthodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Five Forks Trickum Rd Sw Ste 201, Lilburn, Georgia |
| Authorized Official Name and Position | Seonghyeon Kim (OWNER) |
| Authorized Official Contact | 4159678853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookie Dental & Orthodontics Llc 3100 Five Forks Trickum Rd Sw Ste 201 Lilburn GA 30047-1887 Ph: () - | Cookie Dental & Orthodontics Llc 3100 Five Forks Trickum Rd Sw Ste 201 Lilburn GA 30047-1887 Ph: (770) 978-3292 |
| NPI Number | 1285455816 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285455816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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