| Dynasty Dental Care Inc. | |
|
1096 Alpharetta St Roswell GA 30075-3632 | |
| (770) 993-9048 | |
| Not Available |
| Full Name | Dynasty Dental Care Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1096 Alpharetta St, Roswell, Georgia |
| Authorized Official Name and Position | Khaim Kalantarov (PRESIDENT) |
| Authorized Official Contact | 7709939048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynasty Dental Care Inc. 1096 Alpharetta Street Roswell GA 30075 Ph: () - | Dynasty Dental Care Inc. 1096 Alpharetta St Roswell GA 30075-3632 Ph: (770) 993-9048 |
| NPI Number | 1528239548 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528239548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012445 (Georgia) | Primary |
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