| East Cobb Nia Llc | |
|
1111 Johnson Ferry Rd Marietta GA 30068-2181 | |
| (770) 479-9999 | |
| Not Available |
| Full Name | East Cobb Nia Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 Johnson Ferry Rd, Marietta, Georgia |
| Authorized Official Name and Position | Sara Sebastian (BILLING/INSURANCE MANAGER) |
| Authorized Official Contact | 7704799999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cobb Nia Llc 1111 Johnson Ferry Rd Marietta GA 30068 Ph: (770) 479-9999 | East Cobb Nia Llc 1111 Johnson Ferry Rd Marietta GA 30068-2181 Ph: (770) 479-9999 |
| NPI Number | 1003366147 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003366147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013543 (Georgia) | Primary |
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