| Dental Nation Pc | |
|
4343 S Main St Acworth GA 30101-5542 | |
| (404) 644-5963 | |
| Not Available |
| Full Name | Dental Nation Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4343 S Main St, Acworth, Georgia |
| Authorized Official Name and Position | Yen Tran (CEO) |
| Authorized Official Contact | 4046445963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Nation Pc 589 Auburn Ave Ne Unit A Atlanta GA 30312-1990 Ph: (404) 644-5963 | Dental Nation Pc 4343 S Main St Acworth GA 30101-5542 Ph: (404) 644-5963 |
| NPI Number | 1295218881 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295218881 | NPI | - | NPPES |
| 1508206046 | Other | GA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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