| Dentistry For Children Of Snellville Llc | |
|
1350 Spring St Nw Sixth Floor Atlanta GA 30309-2864 | |
| (404) 389-1950 | |
| Not Available |
| Full Name | Dentistry For Children Of Snellville Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1350 Spring St Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Deanna G. Maguire (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4043891950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Snellville Llc 2366 Lenora Church Rd Snellville GA 30078-3233 Ph: (404) 389-1950 | Dentistry For Children Of Snellville Llc 1350 Spring St Nw Sixth Floor Atlanta GA 30309-2864 Ph: (404) 389-1950 |
| NPI Number | 1134497589 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134497589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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