Endodontics Associates Llc | |
1690 Stone Village Ln Nw Ste 922 Kennesaw GA 30152-7714 | |
(770) 499-2102 | |
Not Available |
Full Name | Endodontics Associates Llc |
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Speciality | Clinic/center - Dental |
Location | 1690 Stone Village Ln Nw Ste 922, Kennesaw, Georgia |
Authorized Official Name and Position | Damaries Candelario-soto (OWNER) |
Authorized Official Contact | 7704992102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Endodontics Associates Llc 1690 Stone Village Ln Nw Ste 922 Kennesaw GA 30152-7714 Ph: (770) 499-2102 | Endodontics Associates Llc 1690 Stone Village Ln Nw Ste 922 Kennesaw GA 30152-7714 Ph: (770) 499-2102 |
NPI Number | 1912391863 |
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Provider Enumeration Date | 03/27/2015 |
Last Update Date | 03/27/2015 |
Identifier | Type | State | Issuer |
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1912391863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Georgia) | Primary |
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