| East Cobb Dentistry For Kids | |
|
2880 Johnson Ferry Rd Marietta GA 30062-8368 | |
| (678) 813-2388 | |
| Not Available |
| Full Name | East Cobb Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2880 Johnson Ferry Rd, Marietta, Georgia |
| Authorized Official Name and Position | Nelson K Allen (PEDIATRIC DENTISTRY) |
| Authorized Official Contact | 6788132388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cobb Dentistry For Kids 2880 Johnson Ferry Rd Marietta GA 30062-8368 Ph: (678) 813-2388 | East Cobb Dentistry For Kids 2880 Johnson Ferry Rd Marietta GA 30062-8368 Ph: (678) 813-2388 |
| NPI Number | 1346652062 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346652062 | NPI | - | NPPES |
| 896892351AB | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DNO13148 (Georgia) | Primary |
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