| Cw Dent Llc | |
|
13075 Highway 9 N Suite 110 Milton GA 30004-5145 | |
| (404) 512-9355 | |
| Not Available |
| Full Name | Cw Dent Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13075 Highway 9 N, Milton, Georgia |
| Authorized Official Name and Position | Justin Chong (OWNER) |
| Authorized Official Contact | 4045129355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cw Dent Llc 10420 Sugar Crest Ave Duluth GA 30097-7889 Ph: () - | Cw Dent Llc 13075 Highway 9 N Suite 110 Milton GA 30004-5145 Ph: (404) 512-9355 |
| NPI Number | 1356734115 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356734115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN014085 (Georgia) | Primary |
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